Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | #2009021 |
NPI | 1215336318 |
---|---|
Provider Name | Margaret Ann Chen |
First Address | Marshfield, WI 54449 |
Second Address | Marshfield, WI 54449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2014 |
Last Update Date | 14/08/2014 |