Individual
DR. VANESSA Q CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 75TH ST, #307, KENOSHA, WI 53142-8323
(262) 948-6770
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-110733
IL
2084P0800X
Psychiatry Physician
Primary
47739
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34644100
—
WI
Enumeration date
08/07/2006
Last updated
11/30/2021
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