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Individual

DR. MICHAEL WAYNE CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1350 HICKORY STREET, MELBOURNE, FL 32901-3224
(321) 434-7000
(570) 887-5551
Mailing address
PO BOX 2400, MELBOURNE, FL 32902-2400
(877) 448-8675
(772) 621-3184

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD445769
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME117283
FL

Other

Enumeration date
05/04/2007
Last updated
06/27/2014
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