Madison Champagne, | |
3101 Washington St, Midland, MI 48642-3752 | |
(989) 315-1146 | |
Not Available |
Full Name | Madison Champagne |
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Gender | Female |
Speciality | Chiropractor |
Location | 3101 Washington St, Midland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992378905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301011115 (Michigan) | Primary |
Provider Name | Wellness Within Family Chiropractic, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437848264 PECOS PAC ID: 0143674234 Enrollment ID: O20230922002122 |
Mailing Address | Practice Location Address |
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Madison Champagne, 204 Buffalo St, Bad Axe, MI 48413-1405 Ph: (989) 315-1146 | Madison Champagne, 3101 Washington St, Midland, MI 48642-3752 Ph: (989) 315-1146 |
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