Individual
NATHAN A CHAMPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 PLYMOUTH RD, 250, MINNETONKA, MN 55305-2366
(952) 767-2326
Mailing address
2000 PLYMOUTH RD, 250, MINNETONKA, MN 55305-2366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1072
MN
Other
Enumeration date
10/24/2007
Last updated
02/04/2016
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