Individual
JASON CHAMPINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2193
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002948
MI
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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