Individual
HENRY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RL16565
ND
208M00000X
Hospitalist Physician
Primary
81263-20
WI
Other
Enumeration date
07/10/2020
Last updated
10/24/2023
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