Individual
DR. WEN-CHOU TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5717 S ANTHONY BLVD, FORT WAYNE, IN 46806-3386
(260) 458-3270
(260) 479-4604
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082905A
IN
207Q00000X
Family Medicine Physician
04-37304
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-37304
MEDICAL LICENSE
KS
Enumeration date
06/22/2011
Last updated
10/14/2020
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