Bradley J Champagne, MD
Colon & Rectal Surgery in Cleveland, OH. Individual provider (NPI-1).
NPI number1154357085
StatusActive
Last updated in NPPESJan 13, 2010
Details
- NPI
- 1154357085
- Entity type
- Individual (NPI-1)
- Name
- Bradley J Champagne
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Jan 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 056041 | GA | Yes |
Practice location
11100 Eudlid AvenueCleveland, OH 44106
Phone 216-844-7874
Mailing address
3605 Warrensville Center Rd1st Floor
Shaker Heights, OH 44122
Phone 216-286-6295 · Fax 216-286-6341
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