Individual provider · NPI-1

Christine S Chang, MD

Family Medicine · Plymouth, MN

NPI number1114946902
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1114946902
Entity type
Individual (NPI-1)
Name
Christine S Chang
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine41592MNYes

Practice location

12805 Highway 55
Suite 111
Plymouth, MN 55441-3859

Phone 763-577-2060 · Fax 763-577-2099

Mailing address

12805 Highway 55
Suite 111
Plymouth, MN 55441-3859

Phone 763-577-2060 · Fax 763-577-2099

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