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Individual

DR. MICHAEL KAIYAN CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9480 ROSEMONT DR STE 100, STREETSBORO, OH 44241-4569
(330) 626-5566
(330) 626-2042
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(330) 626-5566
(330) 626-2042

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-091461
OH
207Q00000X
Family Medicine Physician
57.011677
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2929139
OH
Enumeration date
06/15/2007
Last updated
03/07/2023
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