Most Relevant Information
Provider Data
| NPI Number: | 1003301805 |
| Provider Name: | WAI POK VERNON CHAN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 02006775A |
Most Important Dates
| Enumeration Date: | 06/25/2018 |
| Last Updated: | 07/25/2022 |
Provider Practice Location
2651 E DISCOVERY PKWY
BLOOMINGTON
IN
474089059
Practice Location Phone/Fax
| Phone: | 8126764102 |
| Fax: | 8126764106 |
Provider Mailing Location
250 N SHADELAND AVE
INDIANAPOLIS
IN
462194959
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR