Individual
BRIAN K CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(260) 266-9100
(260) 266-9110
Mailing address
7910 W JEFFERSON BLVD STE 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
(260) 459-2504
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01063272A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245364926
—
MI
05
—
200857850
—
IN
05
—
2735259
—
OH
Enumeration date
03/15/2007
Last updated
06/15/2018
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