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Individual

DR. STEVE C WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
13339 S 21ST ST, BIXBY, OK 74008-1070
(910) 787-4048

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036133523
IL
208600000X
Surgery Physician
4822
OK
208D00000X
General Practice Physician
0102201956
VA

Other

Enumeration date
06/10/2008
Last updated
05/07/2014
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