Individual
QIUJUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
285 E STATE ST STE 400, COLUMBUS, OH 43215-4368
(614) 566-7370
Mailing address
400 CELEBRATION PL STE A290, CELEBRATION, FL 34747-4970
(407) 303-3827
(407) 303-3828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006085
VA
363A00000X
Physician Assistant
018589
NY
363A00000X
Physician Assistant
PA60989637
WA
363A00000X
Physician Assistant
PA9113633
FL
363AM0700X
Medical Physician Assistant
Primary
004328
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05382861
—
NY
Enumeration date
05/12/2015
Last updated
10/29/2024
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