Organization
TANDY L. CHAMPION, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANDY L. CHAMPION DO (PRESIDENT)
(616) 249-1850
Entity
Organization
Contact information
Practice address
4166 56TH ST., SW, GRANDVILLE, MI 49418-2371
(616) 249-1850
(616) 532-8657
Mailing address
4166 56TH ST., SW, GRANDVILLE, MI 49418-2371
(616) 249-1850
(616) 532-8657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101011944
MI
208000000X
Pediatrics Physician
Primary
5101011944
MI
Other
Enumeration date
12/26/2006
Last updated
09/11/2025
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