Individual
EVELYN C.Y. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61890
WI
207R00000X
Internal Medicine Physician
J6085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125574704
—
TX
01
—
88709F
BCBS
TX
Enumeration date
07/17/2006
Last updated
03/05/2014
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