Individual
MICHAEL BRIAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(301) 466-8150
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
55575
MN
207N00000X
Dermatology Physician
Primary
MD2016-0130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
04/01/2011
Last updated
01/27/2025
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