Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tandy L. Champion, DO, PC

Organization Internal Medicine Physician · NPI 1619032000

Tandy L. Champion, DO, PC is an Internal Medicine Physician in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4166 56th St SW
Grandville, MI 49418-2371
Phone: (616) 249-1850
Fax: (616) 532-8657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 5101011944 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101011944 (MI)

Record details

NPI number1619032000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tandy Champion — President · (616) 249-1850
NPI enumeratedDecember 26, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address4166 56th St., Sw, Grandville, MI 49418-2371

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