Individual
BRIAN MICHAEL CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3707 KATALIN CT, BAY CITY, MI 48706-2161
(989) 439-1102
(989) 439-1104
Mailing address
3707 KATALIN CT, BAY CITY, MI 48706-2161
(989) 439-1102
(989) 439-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L1997023
MI
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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