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Contact Information

BOONCHOO CHANG, MD
417 W HIGH ST
DOWAGIAC, MI49047-1906
 Phone: 269-782-7150
 Fax: 269-782-7020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BOONCHOO CHANG · (Male)

NPI # 1609932417
Status Active
Credentials MD
Entity Individual
Enumeration date 12/28/2006
Last updated 12/28/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301031400
  • MI Medicaid 1093701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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