Individual
DR. JOANNA CHAN
Active
Individual
DR. JOANNA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A110959
CA
207ND0101X
MOHS-Micrographic Surgery Physician
N1579
TX
207NS0135X
Procedural Dermatology Physician
A110959
CA
Other
Enumeration date
01/11/2007
Last updated
02/09/2012
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