Individual
DR. CHENHAO FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 E SIERRA LN, APPLETON, WI 54913-6603
(917) 362-1790
Mailing address
630 E SIERRA LN, APPLETON, WI 54913-6603
(917) 362-1790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55190-20
WI
208D00000X
General Practice Physician
55190-020
WI
Other
Enumeration date
06/27/2008
Last updated
04/27/2026
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