Individual provider · Type 1 NPI

Mariel Chan, MD

Student in an Organized Health Care Education/Training Program · Elma, WA

NPI number 1033787767 Active

Practice location

600 E. Main Street
Elma, WA 98541

Fax (360) 346-2157

Mailing address

Summit Pacific Medical Center, 600 E. Main Street
Elma, WA 98541

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033787767

Mariel Chan, MD's National Provider Identifier is 1033787767, issued on Jun 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elma, WA. The record was last updated on Oct 5, 2021.