Individual
SUNG OOK WHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1381 N WAYNE ST, ANGOLA, IN 46703-2348
(260) 667-5613
(260) 667-5630
Mailing address
1381 N WAYNE ST, ANGOLA, IN 46703-2348
(260) 667-5624
(260) 665-5630
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
01034452A
IN
208600000X
Surgery Physician
01034452
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100225640
—
IN
Enumeration date
07/12/2005
Last updated
12/05/2019
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