Gary L Champion D.D.S.

NPI 1013931252 - Dentist - 1223G0001X

NPI Details
NPI 1013931252
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
N10236 LAKE RD
IRONWOOD MI, 49938-9545, US
Phone (906) 932-5574
Fax
Business Location
N10236 LAKE RD
IRONWOOD MI, 49938-9545, US
Phone (906) 932-5574
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901010648
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According to our database, Dr. Gary L Champion D.D.S. NPI is 1013931252, taxonomy code is 1223G0001X and license number is 2901010648, license state is located at Michigan. Gary L Champion D.D.S. physically located at N10236 Lake Rd, Ironwood MI, 49938-9545. NPI Number Gary L Champion D.D.S. has the Individual type.

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1013931252 NPI number is provided on an as is basis without warranty of any kind. 1013931252 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L Champion D.D.S. are for informational purposes only.