Individual
LAURA DEANN CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3195 KNIGHT WAY SE, GRAND RAPIDS, MI 49546-4406
(616) 526-6187
(616) 469-1398
Mailing address
3195 KNIGHT WAY SE, GRAND RAPIDS, MI 49546-4409
(616) 526-6678
(616) 526-6548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301068521
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609147339
CALVIN COLLEGE HEALTH SERVICES GROUP NPI
MI
05
—
4161028
—
MI
05
—
4166848
—
MI
05
—
4166857
—
MI
05
—
4202588
—
MI
05
—
4876913
—
MI
Enumeration date
05/18/2006
Last updated
07/27/2023
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