Individual provider · Type 1 NPI
Glenn Champagne, MD
General Practice Physician · Malone, NY
NPI number
1487869087
Active
Practice location
Bare Hill Road, Franklin Correctional Facility
Malone, NY 12953
Mailing address
130 Moody Rd
Malone, NY 12953-3819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 127279-1 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Malone
About NPI 1487869087
Glenn Champagne, MD's National Provider Identifier is 1487869087, issued on May 14, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Malone, NY. The record was last updated on Jul 8, 2007.