Individual
MELANIE IMKER WONG
Active
Individual
MELANIE IMKER WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704290170
MI
163W00000X
Registered Nurse
R-192262-4
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 1924
MN
Other
Enumeration date
02/05/2016
Last updated
09/05/2025
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