Provider Demographics
NPI:1215336318
Name:CHEN, MARGARET ANN (PHD, MS, FACMG,)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:CHEN
Suffix:
Gender:F
Credentials:PHD, MS, FACMG,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 S. BUSINESS PARK AVE.
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449
Mailing Address - Country:US
Mailing Address - Phone:715-387-0484
Mailing Address - Fax:715-384-3661
Practice Address - Street 1:3800 S. BUSINESS PARK AVE.
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449
Practice Address - Country:US
Practice Address - Phone:715-387-0484
Practice Address - Fax:715-384-3661
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
#2009021170100000X
#99056170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
No170300000XOther Service ProvidersGenetic Counselor, MS