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Individual

DR. NATHAN MICHAEL CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.D.

Contact information

Practice address
10505 WAYZATA BLVD, SUITE 202, MINNETONKA, MN 55305-1502
(952) 417-1912
(952) 417-1913
Mailing address
10505 WAYZATA BLVD, SUITE 202, MINNETONKA, MN 55305-1502
(952) 417-1912
(952) 417-1913

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
07-1009
AZ
175F00000X
Naturopath
Primary
1018
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962677815
NPI FOR ORGANIZATION
MN
Enumeration date
10/16/2008
Last updated
06/25/2014
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