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Individual

GUILLERMO CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
347 SMITH AVE N, STE 203, SAINT PAUL, MN 55102-2387
(651) 241-7733
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37319
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049324400
MN
Enumeration date
03/29/2006
Last updated
10/19/2011
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