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Individual
DR. WAYNE D WONG
Active
Individual
DR. WAYNE D WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-123199
IL
207R00000X
Internal Medicine Physician
036123199
IL
207R00000X
Internal Medicine Physician
A89789
CA
208M00000X
Hospitalist Physician
Primary
036123199
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A897890
BLUE SHIELD OF CA
—
05
—
00A897890
—
CA
Enumeration date
07/19/2006
Last updated
12/22/2021
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