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Individual
DR. MINGJUN MICHAEL WANG
Active
Individual
DR. MINGJUN MICHAEL WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000005
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001973771
—
PA
01
—
1489384
PERSONAL CHOICE
PA
01
—
20031
SPECTERA
PR
01
—
2159259830
VSP
PA
01
—
2179183000
KEYSTONE HEALTH PLAN EAST
PA
01
—
348399
AETNA
PA
01
—
397523
NVA
PA
01
—
42203
DAVIS VISION
PA
01
—
PA09830
VBA
PA
01
—
WA1489384
HIGH MARK BLUE SHIELD
PA
Enumeration date
12/16/2005
Last updated
05/20/2015
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