Individual
KERWIN T CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 10TH ST W STE A, SAINT PAUL, MN 55102-1062
(651) 232-3000
Mailing address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.125324
IL
207R00000X
Internal Medicine Physician
57-013026
OH
207R00000X
Internal Medicine Physician
Primary
64525
MN
208M00000X
Hospitalist Physician
036125324
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036125324
STATE LICENSE
IL
01
—
64525
STATE LICENSE
MN
Enumeration date
10/12/2007
Last updated
09/11/2018
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