Individual
DAVID CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33242
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31835500
—
WI
01
—
P00934570
RR MEDICARE
WI
Enumeration date
08/07/2006
Last updated
07/13/2022
Update your record
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