Individual
LEYUAN JACK CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01083776A
IN
207Q00000X
Family Medicine Physician
BP10055775
TX
208M00000X
Hospitalist Physician
31738
NE
Other
Enumeration date
04/24/2016
Last updated
10/15/2025
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