Individual
DR. DAVID L. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 W 4TH ST, MANSFIELD, OH 44906-1711
(419) 747-2426
(419) 747-1331
Mailing address
2050 W 4TH ST, MANSFIELD, OH 44906-1711
(419) 747-2426
(419) 747-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101030341
VA
207Q00000X
Family Medicine Physician
Primary
35043775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417847
—
OH
Enumeration date
06/27/2006
Last updated
07/08/2007
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