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Search › Minnesota › 363A00000X

Ricky Chan, PA-C

NPI 1639134307 · on the registry since 2006 · sole proprietor

Practice

Address
420 Delaware St Se
Ctr For Bld And Clot Disorders, Suite B-549, Mmc 713
Minneapolis, MN 55455
Phone
(612) 626-6455
Fax
(612) 625-4955
Organisation at this address
Neurology Ltd.
University Of Minnesota
University Of Minnesota
University Of Minnesota
University Of Minnesota
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,011

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota