Provider Demographics
NPI:1275736290
Name:CHEN, WEI FAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WEI
Middle Name:FAN
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE.
Mailing Address - Street 2:A60
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-444-5415
Mailing Address - Fax:216-444-9419
Practice Address - Street 1:9500 EUCLID AVE.
Practice Address - Street 2:A60
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-444-5415
Practice Address - Fax:216-444-9419
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA399482086S0105X, 2086S0122X
IL0361184192086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand