Individual
JASON J CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 PLAZA DR STE 2200, WAUSAU, WI 54401-4158
(715) 847-2311
(715) 847-2312
Mailing address
2720 PLAZA DR STE 2200, WAUSAU, WI 54401-4158
(715) 847-2311
(715) 847-2312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2008-00899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909684
—
NC
Enumeration date
05/01/2006
Last updated
03/07/2023
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