Individual
DR. JUNG HOON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WILLIAM CARLS DR, HURON VALLEY-SINAI HOSPITAL, COMMERCE TWP, MI 48382-2201
(248) 937-3602
(248) 937-5819
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083-1138
(248) 937-3602
(248) 937-5819
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301036944
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125076
CARE CHOICES
MI
01
—
300108768
MEDICARE RAILROALD
MI
05
—
423247010
—
MI
01
—
JC036944
BCBS
MI
Enumeration date
06/15/2006
Last updated
10/25/2016
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