| Boonchoo Chang M.d., P.c. | |
|
417 W High St Dowagiac MI 49047-1906 | |
| (269) 782-7150 | |
| (269) 782-7020 |
| Full Name | Boonchoo Chang M.d., P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 417 W High St, Dowagiac, Michigan |
| Authorized Official Name and Position | Boonchoo Chang (PRESIDENT) |
| Authorized Official Contact | 2697827150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boonchoo Chang M.d., P.c. 417 W High St Dowagiac MI 49047-1906 Ph: (269) 782-7150 | Boonchoo Chang M.d., P.c. 417 W High St Dowagiac MI 49047-1906 Ph: (269) 782-7150 |
| NPI Number | 1225158868 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225158868 | NPI | - | NPPES |
| 1093701 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | BC031400 (Michigan) | Primary |
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