Individual provider · NPI-1

Robert A Chang, MD

Internal Medicine · Mount Clemens, MI

NPI number1093712093

StatusActive

Last updated in NPPESDec 22, 2020

Details

NPI: 1093712093
Entity type: Individual (NPI-1)
Name: Robert A Chang
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jul 5, 2005
Certification date: Dec 22, 2020
Last updated: Dec 22, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	4301054727	MI	Yes

Practice location

133 S Main St
Mount Clemens, MI 48043

Phone 586-468-1600 · Fax 586-465-0329

Mailing address

2689 Solution Center
Chicago, IL 60677-0001

Phone 586-329-1880 · Fax 586-465-0329

Other practice locations

133 S Main St
Mount Clemens, MI 48043-2308

Phone 586-468-1600 · Fax 586-465-0329

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.