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Boonchoo Chang M.d., P.c.
Clinic/Center in Dowagiac, Michigan
NPI 1225158868

Boonchoo Chang M.d., P.c. is a Clinic/Center based in Dowagiac, MI. Boonchoo Chang M.d., P.c. practices in Dowagiac, MI. The NPI Number for Boonchoo Chang M.d., P.c. is 1225158868 and holds a License No. BC031400 (Michigan).

The current practice location address for Boonchoo Chang M.d., P.c. is 417 W High St, Dowagiac, MI and can be reached out via phone at 269-782-7150 and via fax at 269-782-7020.

Location: 417 W High St, Dowagiac, MI, 49047-1906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225158868
Provider Name
Boonchoo Chang M.d., P.c.
Credential
Provider Entity Type
Organization
Address
417 W High St, Dowagiac, MI, 49047-1906
Phone Number
269-782-7150
Fax Number
269-782-7020
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093701 05 MI
institution
Provider Business Practice Location Address Details
Address
417 W High St
City
Dowagiac
State
Michigan
Zip
49047-1906
Phone Number
269-782-7150
Fax Number
269-782-7020
person
Provider Business Mailing Address Details
Address
417 W High St
City
Dowagiac
State
Michigan
Zip
49047-1906
Phone Number
269-782-7150
Fax Number
269-782-7020
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
BC031400 (Michigan)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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