Provider Demographics
NPI:1851548804
Name:CHAN, CHIN (MD)
Entity Type:Individual
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First Name:CHIN
Middle Name:
Last Name:CHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 E MEDICAL CENTER DR
Mailing Address - Street 2:CARDIOVASCULAR CENTER, SPC 5853
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5000
Mailing Address - Country:US
Mailing Address - Phone:734-763-7141
Mailing Address - Fax:734-936-7026
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:CARDIOVASCULAR CENTER, SPC 5853
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:734-763-7141
Practice Address - Fax:734-936-7026
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301093055207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease