Individual
TIFFANY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC-2E, DETROIT, MI 48201-2153
(313) 577-4342
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(313) 745-4627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351032753
MI
208000000X
Pediatrics Physician
4351032753
MI
208M00000X
Hospitalist Physician
Primary
A172559
CA
Other
Enumeration date
04/20/2017
Last updated
08/31/2021
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