Basic Information
Provider Information
NPI: 1740319003
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAMPIAN
FirstName: EUGEN
MiddleName: CRISTIAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6420 CLAYTON RD
Address2: SUITE 290
City: SAINT LOUIS
State: MO
PostalCode: 631171811
CountryCode: US
TelephoneNumber: 3147811031
FaxNumber: 3147812840
Practice Location
Address1: 701 HEWITT BLVD
Address2:  
City: RED WING
State: MN
PostalCode: 550662848
CountryCode: US
TelephoneNumber: 6512675000
FaxNumber: 6512675964
Other Information
ProviderEnumerationDate: 03/05/2007
LastUpdateDate: 09/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD71583MDN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VF0040XD71583MDN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
207VF0040X2013044823MON Allopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
207V00000X51333MNY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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