Individual
CHRISTINE S CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12805 HIGHWAY 55, SUITE 111, PLYMOUTH, MN 55441-3859
(763) 577-2060
(763) 577-2099
Mailing address
12805 HIGHWAY 55, SUITE 111, PLYMOUTH, MN 55441-3859
(763) 577-2060
(763) 577-2099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41592
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22G82CH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/19/2006
Last updated
07/08/2007
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