Glenn Champagne, M.D.

NPI #1487869087 in Malone, New York

Provider Information

NPI Number: 1487869087
Entity Type: Individual
Name: Glenn Champagne, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: BARE HILL ROAD
Address 2: FRANKLIN CORRECTIONAL FACILITY
City: Malone
State: New York
ZIP Code: 12953
Phone: (518) 483-6040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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