| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PEI HSUAN CHAN | 1508423054 | 2022-08-14 |
Pei Hsuan Chan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508423054. Registration indicates Pei Hsuan Chan is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Pei Hsuan Chan DO |
| Practice Office Address | 5131 W BRISTOL RD STE A FLINT, MI US |
| Practice Office Telephone | 6268727140 |
| Mailing Address | 6242 EASTKNOLL DR APT 106 GRAND BLANC, MI 484395087 US |
| Business Telephone | 6268727140 |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 5101025890
MI |