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Individual

DR. EDWARD C CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3201 S 16TH ST, ROOM 1000, MILWAUKEE, WI 53215-4537
(414) 389-3180
(414) 645-8240
Mailing address
3201 S 16TH ST, ROOM 1000, MILWAUKEE, WI 53215-4537
(414) 389-3180
(414) 645-8240

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39339
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32558900
WI
Enumeration date
10/18/2005
Last updated
06/14/2012
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