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Individual

DR. GRETA B CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43875
MN
208000000X
Pediatrics Physician
Primary
43875
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
687647100
MN
Enumeration date
12/29/2005
Last updated
03/08/2016
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