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Individual

MIKE KUANG SING CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
29653
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051065714
BCBS AL
AL
01
08384254
MISSISSIPPI MEDICAID
MS
05
114137
AL
05
259040900
FL
Enumeration date
07/21/2006
Last updated
10/07/2010
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