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Individual

MISS MING CHI MAYE CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
250 THOMPSON ST., ST. PAUL, MN 55102
(651) 292-2000
Mailing address
166 4TH ST. E., STE. 100, ST. PAUL, MN 55101
(651) 292-2000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13078
MN
363A00000X
Physician Assistant
1761
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1761
PHYSICIAN ASSISTANT
MA
Enumeration date
06/14/2006
Last updated
05/26/2023
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