Individual
IEONG F CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11635 E 13 MILE RD, WARREN, MI 48093-3021
(586) 446-0853
Mailing address
13970 SILENT WOODS DR, SHELBY TOWNSHIP, MI 48315-4296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030289
MI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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