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Individual

JONATHAN CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 E EISENHOWER PKWY STE B, ANN ARBOR, MI 48108-3302
(734) 539-5080
Mailing address
1540 E HOSPITAL DR # MPBD3230, ANN ARBOR, MI 48109-4000
(734) 647-1774

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151017126
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2023
Last updated
04/29/2025
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