# BONITA M L WANG, D,O.,PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841456613
- **Authorized official:** BONITA M L WANG, D.O., PLC D.O. (OWNER)
- **Authorized official phone:** (810) 732-1900

## Contact information

- **Practice address:** 1425 S GRAHAM RD, FLINT, MI 48532-3538
- **Practice address phone:** (810) 732-1900
- **Practice address fax:** (810) 732-1925
- **Mailing address:** 12745 S SAGINAW ST, STE 806-189, GRAND BLANC, MI 48439-2437
- **Mailing address phone:** (810) 732-1900
- **Mailing address fax:** (810) 732-1925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5101011000 | MI | Yes |

## Other

- **Enumeration date:** 07/31/2008
- **Last updated:** 07/31/2008