Individual
GRACE HSUANHWA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
709 W. MAIN STREET, MANCHESTER, IA 52057-0359
(563) 927-7698
(563) 927-7469
Mailing address
709 W. MAIN STREET, P.O. BOX 359, MANCHESTER, IA 52057-0359
(563) 927-7698
(563) 927-7469
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036102794
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-45432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102794
—
IL
Enumeration date
08/18/2006
Last updated
07/01/2021
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