Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301077744 | MI |
Y | 111NI0900X | Internist | 4301077744 | MI |
N | 207RH0000X | Hematologist | 4301077744 | MI |
N | 207RH0003X | Hematology & Oncology | 4301077744 | MI |
N | 207RX0202X | Medical Oncology | 4301077744 | MI |
NPI | 1063534147 |
---|---|
Provider Name | Grace Yi Chen |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 21/02/2012 |