Individual
JEREMY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR DEPT OF SURGERY, IOWA CITY, IA 52242-1009
(336) 207-5795
Mailing address
1219 MINTMERE DR, COLLIERVILLE, TN 38017-6823
(336) 207-5795
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R-11901
IA
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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