Individual
ANDY H WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8225336
—
WA
Enumeration date
05/18/2006
Last updated
11/20/2007
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