Individual
DR. BO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14265
SD
207N00000X
Dermatology Physician
4301507145
MI
Other
Enumeration date
07/16/2018
Last updated
06/22/2023
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