Individual
LUKE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 SOUTH GRAND BOULEVARD, SAINT LOUIS, MO 63195-9000
(314) 257-8000
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7945
NE
208800000X
Urology Physician
Primary
2024031946
MO
208800000X
Urology Physician
A176098
CA
Other
Enumeration date
06/28/2017
Last updated
05/14/2025
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