Individual
JOANN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101017868
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DO2344
ME
Other
Enumeration date
02/27/2009
Last updated
05/06/2026
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