Individual
POLO CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4050 COON RAPIDS BLVD, UNIT 4 WEST, PEDIATRIC HOSPITALIST, COON RAPIDS, MN 55433
(763) 236-9765
(763) 236-7422
Mailing address
13301 MAPLE KNOLL WAY, UNIT 614, MAPLE GROVE, MN 55369
(612) 275-9288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47318
MN
2080P0203X
Pediatric Critical Care Medicine Physician
49021
WI
Other
Enumeration date
03/24/2006
Last updated
08/24/2012
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