Individual
TAE YONG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
565 SNELLING AVE S, SAINT PAUL, MN 55116-1525
(651) 698-0386
(866) 314-4031
Mailing address
565 SNELLING AVE S, SAINT PAUL, MN 55116-1525
(651) 698-0386
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
78259
MN
Other
Enumeration date
04/12/2018
Last updated
01/19/2025
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