Individual
JUSTIN THEODORE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5695
(608) 417-5890
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
(608) 417-3878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017018876
MO
207Q00000X
Family Medicine Physician
47374
IA
207Q00000X
Family Medicine Physician
Primary
84868
WI
Other
Enumeration date
06/12/2017
Last updated
04/23/2026
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