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Individual

MICHAEL CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
201 RIDGE ST, STE. 311, COUNCIL BLUFFS, IA 51503-4643
(712) 396-4050
(712) 396-7069
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
377
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025866000
NE
05
1205859170
IA
05
47068731713
NE
Enumeration date
07/25/2006
Last updated
12/17/2013
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