GLENN CHAMPAGNE

MALONE, NY
NPI1487869087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: NY  127279-1)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
-- GLENN CHAMPAGNE M.D.
BARE HILL ROAD FRANKLIN CORRECTIONAL FACILITY
MALONE, NY 12953
Phone number: 518-483-6040
Mailing Address
-- GLENN CHAMPAGNE M.D.
130 MOODY RD
MALONE, NY 12953-3819
Phone number: 518-483-1120