Individual
DAVID T CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1835 COUNTY ROAD C W, SUITE 150, ROSEVILLE, MN 55113-1352
(651) 430-3800
(651) 430-3827
Mailing address
1950 NORTHWESTERN AVE S STE 102, STILLWATER, MN 55082-7615
(651) 430-3800
(651) 430-3800
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
48863
MN
207T00000X
Neurological Surgery Physician
6663120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06382528
—
MS
Enumeration date
03/01/2006
Last updated
12/31/2020
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