Individual
DR. JON MICHAEL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 OAKLAND PL, BUFFALO, NY 14222-2041
(614) 366-3687
Mailing address
65 OAKLAND PL, BUFFALO, NY 14222-2041
(614) 366-3687
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.144383
IL
207Y00000X
Otolaryngology Physician
23031
ND
207Y00000X
Otolaryngology Physician
293812
NY
207Y00000X
Otolaryngology Physician
35.120793
OH
207Y00000X
Otolaryngology Physician
MT193950
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293812
NYS LICENSE
NY
05
—
PENDING
—
OH
Enumeration date
07/31/2008
Last updated
09/29/2025
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