Organization
CALVIN UNIVERSITY
Active
Other names
Calvin Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA DEANN CHAMPION M.D. (DIRECTOR)
(616) 526-6678
Entity
Organization
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) 526-6187
(616) 526-6548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558314765
NPI
MI
Enumeration date
01/26/2012
Last updated
07/27/2023
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