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Individual

COLIN E. CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2605 E. CREEK'S EDGE DR., BLOOMINGTON, IN 47401
(812) 355-2300
(812) 355-2316
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-2300
(812) 355-2316

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01045412A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200188940
IN
Enumeration date
06/16/2005
Last updated
10/12/2016
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