Wallace Han Jen Chang M.D.

NPI 1023165768 - Plastic Surgery - 208200000X

NPI Details
NPI 1023165768
Gender Male
Enumeration Date 01/04/2007
Last Updated 06/30/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
17930 TALBOT RD S
RENTON WA, 98055-6230, US
Phone (425) 228-3187
Fax (425) 228-7972
Business Location
805 MADISON ST
SUITE 901
SEATTLE WA, 98104-1172, US
Phone (206) 264-8100
Fax
Toxanomy
Taxonomy Code 208200000X
License State Washington
License Number MD00019791
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According to our database, Dr. Wallace Han Jen Chang M.D. NPI is 1023165768, taxonomy code is 208200000X and license number is MD00019791, license state is located at Washington. Wallace Han Jen Chang M.D. physically located at 17930 Talbot Rd S, Renton WA, 98055-6230. NPI Number Wallace Han Jen Chang M.D. has the Individual type.

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1023165768 NPI number is provided on an as is basis without warranty of any kind. 1023165768 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Han Jen Chang M.D. are for informational purposes only.