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Individual

KERWIN T CHAN

Active
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Individual

KERWIN T CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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