BOONCHOO CHANG M.D., P.C.
Ambulatory Health at High St, Dowagiac, MI

License number
Michigan BC031400
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. BOONCHOO CHANG M.D.
Title: PRESIDENT
Phone: (269) 782-7150
Address
Address
417 W High St, Dowagiac, MI 49047
National Provider ID: 1225158868
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BOONCHOO CHANG, M.D., PC

417 W High St, Dowagiac, MI 49047

Status:
Inactive
Registration:
Feb 28, 1979
State ID:
064978
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2011
Agent:
Boonchoo Chang, M.d

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