Individual
KATHERINE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-4425
(605) 322-4499
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.010623
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
8515
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2825358
—
OH
05
—
6702750
—
SD
Enumeration date
05/17/2007
Last updated
10/09/2018
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