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Dr. Chul Chang, MD
Specialist in Watervliet, Michigan
NPI 1194760157

Chul Chang is a Specialist based in Watervliet, MI. Chul Chang practices in Watervliet, MI and has the professional credentials of MD. The NPI Number for Chul Chang is 1194760157 and holds a License No. CC043583 (Michigan).

The current practice location address for Chul Chang is 400 Medical Park Dr, Watervliet, MI and can be reached out via phone at 269-463-2449.

Location: 400 Medical Park Dr, Watervliet, MI, 49098-8531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194760157
Provider Name
Chul Chang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Medical Park Dr, Watervliet, MI, 49098-8531
Phone Number
269-463-2449
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0M55810 01 MI MEDICARE - BANGOR
2589390 05 MI
3208317 05 MI
1101102151 01 MI BLUECROSSBLUESHIELDOFMI
110H010030 01 MI BCBSM - BANGOR
institution
Provider Business Practice Location Address Details
Address
400 Medical Park Dr
City
Watervliet
State
Michigan
Zip
49098-9225
Phone Number
269-463-2449
Fax Number
person
Provider Business Mailing Address Details
Address
400 Medical Park Dr
City
Watervliet
State
Michigan
Zip
49098-9225
Phone Number
269-463-2449
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CC043583 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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