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NPI Code Detail

MEDICARE: MICHAEL B CHEN M.D.

MEDICARE: MICHAEL B CHEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician108742MO

General Provider Information

NPI Number : 1023056355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL B CHEN M.D.
Provider Business Mailing Address
First Line : 3015 N BALLAS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2329
Country : US
Telephone Number : 314-996-5000
Fax Number :
Provider Business Practice Location Address
First Line : 3015 N BALLAS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2329
Country : US
Telephone Number : 314-996-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 04/15/2026

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