Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 47398 | MN |
Y | 207RX0202X | Medical Oncology | 47398 | MN |
NPI | 1457338444 |
---|---|
Provider Name | Dr. Cathleen Chen |
First Address | St Louis Park, MN 55416-2527 |
Second Address | St Louis Park, MN 55416-2527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 01/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372120500 | (05) | MN |
G36798 | (02) | MN |