TANDY L. CHAMPION, D.O., P.C.
Medical Practice in Wyoming, MI

License number
Michigan 5101011944
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Michigan 5101011944
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. TANDY L. CHAMPION DO
Title: PRESIDENT
Phone: (616) 249-1850
Address
Address
4166 56 St. SW, Wyoming, MI 49418
National Provider ID: 1619032000
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TANDY L. CHAMPION D.O., PC

Wyoming, MI

Industry:
Medical Laboratory
Doing business as:
Tandy L Champion DO PC<br>Tandy L Champion Do
Registration:
Jun 11, 1998
Phone:
(616) 249-1850 (Phone)
Addresses:
4166 56 SW, Grandville, MI 49418 (Physical)
Michigan (Mailing)
State ID:
533500
Business type:
Domestic Professional Service Corporation
Medical Assistant:
Rebecca Klooster (Medical Assistant)
Agent:
Tandy L Champion Do
Categories:
Internal Medicine Physicians & Surgeons, Osteopathic Physicians & Surgeons, Pediatrics Physicians & Surgeons, ...
Products:
Internal Medicine

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