Individual
DR. PETER CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACR
Contact information
Practice address
3577 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 551-7038
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301040950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1874110
—
MI
01
—
320F362430
BCBSM
MI
Enumeration date
03/22/2006
Last updated
10/22/2020
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