Individual
CHANNING JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(952) 428-1800
(952) 428-1723
Mailing address
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(952) 428-1800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
66647
MN
Other
Enumeration date
04/03/2017
Last updated
08/02/2021
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