Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN CHAMPAGNE, M.D.
Active Sole ProprietorGLENN CHAMPAGNE, M.D. is a General Practice healthcare provider located in MALONE, New York. NPI 1487869087 is currently active in the NPPES registry. Verify at CMS.
General Practice · MALONE, NY
Registration Details
- NPI Number
- 1487869087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2007 (19.272330857919 yrs)
- Last Updated
- Jul 8, 2007
- License
-
127279-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
BARE HILL ROADFRANKLIN CORRECTIONAL FACILITYMALONE, NY, 12953Browse NY providers · Browse ZIP 12953
- Phone
- 5184836040
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in MALONE, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH E. ROBINSON | M.D. | 1508946443 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.