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Individual

EDWARD M CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1044 W WALNUT ST, R4 202, INDIANAPOLIS, IN 46202-5254
(317) 508-2546
Mailing address
639 S DELAWARE ST, INDIANAPOLIS, IN 46225-1392

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01043619
IN

Other

Enumeration date
04/25/2006
Last updated
07/08/2007
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