Provider Demographics
NPI:1851835318
Name:CAMPAGNA, JEFFREY (PSS)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:CAMPAGNA
Suffix:
Gender:M
Credentials:PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4751
Mailing Address - Country:US
Mailing Address - Phone:989-401-9015
Mailing Address - Fax:989-401-9018
Practice Address - Street 1:1320 N MICHIGAN AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4751
Practice Address - Country:US
Practice Address - Phone:989-401-9015
Practice Address - Fax:989-401-9018
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist