TANDY CHAMPION

WYOMING, MI
NPI1164443578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  5101011944)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  5101011944)
Enumeration Date2006-07-21
Last Update Date2025-09-11
Business Address
-- TANDY CHAMPION DO
4166 56TH ST SW
WYOMING, MI 49418-9352
Phone number: 616-249-1850
Mailing Address
-- TANDY CHAMPION DO
4166 56TH ST SW
WYOMING, MI 49418-9352
Phone number: 616-249-1850