Individual
XIAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, PH.D
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2036
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(651) 855-8660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63776
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
06/27/2022
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