Thong Chang, | |
1258 Matilda St, Saint Paul, MN 55117-4824 | |
(651) 621-4036 | |
Not Available |
Full Name | Thong Chang |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 4 Years |
Location | 1258 Matilda St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760077994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6800 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mgfamchiro Pllc | 3476805003 | 3 |
Provider Name | Mgfamchiro Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326531476 PECOS PAC ID: 3476805003 Enrollment ID: O20181010001157 |
Mailing Address | Practice Location Address |
---|---|
Thong Chang, 1258 Matilda St, Saint Paul, MN 55117-4824 Ph: (651) 621-4036 | Thong Chang, 1258 Matilda St, Saint Paul, MN 55117-4824 Ph: (651) 621-4036 |
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