Individual provider · Type 1 NPI

Jack Chen, MD

Diagnostic Radiology Physician · Roseville, MN

NPI number 1104356500 Active

Practice location

2355 Hwy 36 W, Ste. 100
Roseville, MN 55113

Mailing address

2355 Hwy 36 W., Ste. 100
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X74190 (MN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104356500

Jack Chen, MD's National Provider Identifier is 1104356500, issued on Jun 18, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Roseville, MN. The record was last updated on Jul 31, 2023.