NPI 1871640557
Charles Champ Churchill
Practice location
- Address
- 2650 32nd Ave S Suite E, Grand Forks, ND 58201-6541
- Phone
- (701) 775-3905
- Fax
- (701) 772-8256
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1871640557
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.