Individual
YEE LAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6805
(414) 805-0618
Mailing address
9200 W WISCONSIN AVE, HEMATOLOGY AND ONCOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6805
(414) 805-0618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2614
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104130400
—
WI
Enumeration date
07/29/2010
Last updated
03/06/2024
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