Individual
ERIN MARIE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2159
MN
363A00000X
Physician Assistant
PA0003727
CO
363AM0700X
Medical Physician Assistant
Primary
11697
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770913071
—
MN
Enumeration date
11/22/2013
Last updated
12/26/2015
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