Individual
CALVIN TAKCHUN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(425) 407-1500
Mailing address
PO BOX 94525, SEATTLE, WA 98124-6825
(425) 407-1500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101239158
VA
207L00000X
Anesthesiology Physician
Primary
MD60305917
WA
Other
Enumeration date
05/21/2007
Last updated
12/14/2018
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