Individual
MYUNGWON CHRISTINE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7250 CLEARVISTA DR STE 100, INDIANAPOLIS, IN 46256
(317) 621-5673
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01076534A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201359300
—
IN
Enumeration date
04/26/2011
Last updated
11/27/2023
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