MEDICARE: YIMIN CHEN MD

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
1	207R00000X	Internal Medicine Physician	77039	WI
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1437716735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YIMIN CHEN MD

Provider Business Mailing Address
First Line	:	905 HARBOR HOUSE DR UNIT 8
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-2366
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 HARBOR HOUSE DR UNIT 8
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-2366
Country	:	US
Telephone Number	:	561-376-1943
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2019
Last Update Date	:	12/10/2025

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Directions to “ YIMIN CHEN MD” Practice Location

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