Individual
DR. XIAO-LAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1448
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 961-5362
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44569
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01602
MEDICARE GROUP #
WI
05
—
34254400
—
WI
Enumeration date
10/16/2006
Last updated
11/04/2022
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