Healthcare Provider Details

I. General information

NPI: 1740319003
Provider Name (Legal Business Name): EUGEN CRISTIAN CAMPIAN M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 HEWITT BLVD
RED WING MN
55066-2848
US

IV. Provider business mailing address

701 HEWITT BLVD
RED WING MN
55066-2848
US

V. Phone/Fax

Practice location:
  • Phone: 651-267-5000
  • Fax: 651-267-5964
Mailing address:
  • Phone: 651-267-5000
  • Fax: 651-267-5964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberD71583
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number2013044823
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD71583
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number51333
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: