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Individual

MICHAEL X WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-1276
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
2004035778
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2004035778
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208369504
MO
Enumeration date
06/01/2006
Last updated
03/23/2024
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