Individual
IRENE L CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
929 N SAINT FRANCIS, WICHITA, KS 67214-3821
(316) 268-5426
(316) 652-0340
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
ML 60095805
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0435543
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A96577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200859940A
—
KS
Enumeration date
11/13/2007
Last updated
08/26/2015
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