Individual
DR. CHEONG WAI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
339 REED AVE, MANITOWOC, WI 54220-2020
(920) 320-8600
Mailing address
353 N DESPLAINES ST, APT 510, CHICAGO, IL 60661-1234
(847) 682-8290
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125.059320
IL
2084P0800X
Psychiatry Physician
Primary
64304-20
WI
Other
Enumeration date
06/30/2011
Last updated
10/07/2025
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