Tandy Champion in Wyoming - Pediatrics

Tandy Champion - NPI 1164443578

Tandy Champion is a Pediatrics in Wyoming, Michigan. Tandy Champion practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tandy Champion is 1164443578. The last update date is 2022-07-21.

Tandy Champion's current location address is 4166 56th St Sw, Wyoming, Michigan. You can contact this provider via phone number 6162491850 and fax number 6165328657. The mailing address for Tandy Champion is 4166 56th St Sw, Wyoming, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tandy Champion
Address 4166 56th St Sw, Wyoming, Michigan
Phone Number 6162491850
Fax Number 6165328657
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1164443578
Provider Enumeration Date 2006-07-21
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 4166 56th St Sw
City Wyoming
State Michigan (MI)
Post Code 494189352
Phone Number 6162491850
Fax Number 6165328657

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 5101011944
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Tandy Champion

What is the unique identifier code issued to Tandy Champion by the Centers for Medicare & Medicaid Services?

The Tandy Champion has been assigned the NPI (National Provider Identifier) 1164443578. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Tandy Champion?

The Tandy Champion is situated at 4166 56Th St Sw, in the city of Wyoming, state of MI, with the zip code 494189352.

What is Tandy Champion's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tandy Champion is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date was the 1164443578 assigned to Tandy Champion?

The Tandy Champion was issued its 1164443578 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Tandy Champion's information last updated?

The Tandy Champion's information was last updated on 2022-07-21.

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