Individual
BRIDGET ANN CHAMPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 W CAMPUS DR, STE 500, MT PLEASANT, MI 48858-5414
(989) 772-1609
(989) 773-6279
Mailing address
2480 W CAMPUS DR, STE 500, MT PLEASANT, MI 48858-5414
(989) 772-1609
(989) 773-6279
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704237383
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704237383
STATE LIC
MI
Enumeration date
11/13/2009
Last updated
11/13/2009
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