Provider Demographics
NPI:1366734626
Name:KWAN, CONSTANCE SEE-WEI (DO)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:SEE-WEI
Last Name:KWAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:38935 ANN ARBOR RD
Mailing Address - Street 2:CREDENTIALING DEPT. OHM
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3397
Mailing Address - Country:US
Mailing Address - Phone:734-632-0175
Mailing Address - Fax:866-820-6385
Practice Address - Street 1:8260 ATLEE RD
Practice Address - Street 2:EM: EMERGENCY MEDICINE
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1844
Practice Address - Country:US
Practice Address - Phone:804-764-6000
Practice Address - Fax:804-764-6562
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2025-05-19
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Provider Licenses
StateLicense IDTaxonomies
MEDO2937207P00000X
VA0102203454207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA12723964OtherCAQH