Organization
HYUN S CHANG M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY GESSLER (OFFICE MANAGER)
(313) 565-6999
Entity
Organization
Contact information
Practice address
3815 PELHAM ST, SUITE 5, DEARBORN, MI 48124-3852
(313) 565-6999
(313) 565-8754
Mailing address
3815 PELHAM ST, SUITE 5, DEARBORN, MI 48124-3852
(313) 565-6999
(313) 565-8754
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301035471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020052557
PALMETTO GBA
MI
05
—
2713276
—
MI
Enumeration date
11/12/2009
Last updated
01/14/2010
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