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Individual

DONG WOOK CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 S 336TH STREET, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Mailing address
4101 WHITMAN AVE N # B, SEATTLE, WA 98103-7821
(206) 632-3093
(206) 632-3093

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043595
WA
208M00000X
Hospitalist Physician
MD00043595
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202038
LIWA
WA
01
1056CH
BSWA
WA
05
8438459
WA
Enumeration date
06/07/2006
Last updated
07/18/2008
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