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1609114842
FREDERIC C CHANG
WICHITA, KS
NPI
1609114842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: KS 04-16109)
Enumeration Date
2013-01-23
Last Update Date
2013-01-23
Business Address
-- FREDERIC C CHANG MD
35 E VIA ROMA ST
WICHITA, KS 67230-1602
Phone number: 316-733-0627
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Mailing Address
-- FREDERIC C CHANG MD
35 E VIA ROMA ST
WICHITA, KS 67230-1602
Phone number: 316-733-0627
Copy
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