Individual
DR. CHUN KUO CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 725-5846
Mailing address
6060 PRIMACY PKWY, SUITE 241, MEMPHIS, TN 38119-5745
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22692
MS
207L00000X
Anesthesiology Physician
47263
TN
207L00000X
Anesthesiology Physician
Primary
83661
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083815112
—
WI
Enumeration date
05/29/2007
Last updated
12/03/2024
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