Individual
MOLLY JEAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CNSC
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6473
Mailing address
3256 N 93RD ST, MILWAUKEE, WI 53222-3511
(608) 751-2926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
10/30/2023
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