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DR. BOONCHOO CHANG M.D.

Adult Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1609932417

Individual Registrant:
DR. BOONCHOO  CHANG M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
417 W HIGH ST  DOWAGIAC, MI 49047-1906 US
Tel: 269-782-7150  Fax: 269-782-7020

Contact information for business:
417 W HIGH ST  DOWAGIAC, MI 49047-1906 US
Tel: 269-782-7150  Fax: 269-782-7020

Registration Information:
NPI: 1609932417
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QA0505XAllopathic & Osteopathic Physicians
Family Medicine
Adult Medicine
MI4301031400
Y207RG0300XAllopathic & Osteopathic Physicians
Internal Medicine
MI4301031400

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1093701MI05




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