Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 39948 | IA |
N | 2086S0122X | Plastic and Reconstructive Surgery | 036118419 | IL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 39948 | IA |
NPI | 1275736290 |
---|---|
Provider Name | Dr. Wei Fan Chen |
First Address | Cleveland, OH 44195 |
Second Address | Cleveland, OH 44195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 04/03/2020 |