Provider Demographics
NPI:1932147758
Name:CAMPAU, JAMES C (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:CAMPAU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:901 S HENRY ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-5076
Mailing Address - Country:US
Mailing Address - Phone:989-894-9000
Mailing Address - Fax:989-894-9018
Practice Address - Street 1:901 S HENRY ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-5076
Practice Address - Country:US
Practice Address - Phone:989-894-9000
Practice Address - Fax:989-894-9018
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJC009849207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI111922173Medicaid
MIE26043Medicare UPIN