Individual
JINING I WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6556
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6556
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
43783-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104878602
—
WI
Enumeration date
05/16/2006
Last updated
04/12/2021
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