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Individual
DR. ALLEN WANG
Active
Individual
DR. ALLEN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5315072432
MI
213E00000X
Podiatrist
Primary
5901002592
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
08/23/2022
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