Individual
EMMIE ANDREA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5640
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
48070-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34671200
—
WI
Enumeration date
10/19/2005
Last updated
03/12/2024
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