Individual
JANE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2000152510
MO
207RC0000X
Cardiovascular Disease Physician
2000152510
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
2000152510
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
63016
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326010183
—
MO
Enumeration date
07/17/2006
Last updated
03/17/2018
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