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Individual

HONG CHU WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
480 E DIVISION ST, FOND DU LAC, WI 54935-3734
(920) 926-4101
(920) 926-4190
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
(800) 236-1428
(920) 739-0124

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
22834
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30297400
WI
Enumeration date
08/11/2006
Last updated
07/08/2007
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