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Individual

WARREN JEFFREY CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1011 W 2ND ST, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039
Mailing address
1011 W 2ND ST, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
IN01052241
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200257620A
IN
Enumeration date
11/17/2005
Last updated
02/14/2012
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