Individual
KUO HAU CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5225
(218) 249-5500
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5225
(218) 249-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220820
NY
207R00000X
Internal Medicine Physician
53786
MN
208M00000X
Hospitalist Physician
Primary
53786
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354316
—
NY
Enumeration date
05/06/2006
Last updated
12/04/2020
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