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Individual

CESAR A. CHAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
204 E 19TH ST, PANAMA CITY, FL 32405-4707
(850) 763-5409
(850) 763-4072
Mailing address
204 E 19TH ST, PANAMA CITY, FL 32405-4707
(850) 763-5409
(850) 763-4072

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
42817
WI
207RG0100X
Gastroenterology Physician
Primary
ME162947
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34034200
WI
01
P00705300
RR MEDICARE
WI
Enumeration date
06/20/2006
Last updated
03/21/2024
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