NPI 1083083323
Micah Chan, DMDMS
Practice location
- Address
- 6601 Lyndale Ave S, Richfield, MN 55423-2477
- Phone
- (612) 243-9357
- Mailing address
- 8301 Stanley Rd APT #114, Bloomington, MN 55437-1282
Registered specialties
Periodontics
Primary
Registry record
- NPI
- 1083083323
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Sep 2015
- Record last updated
- 16 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.