Individual
FANG WEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOSPITAL DR, GME, DC018.00, MA101, COLUMBIA, MO 65201-5276
(573) 882-1201
(573) 884-4612
Mailing address
1 HOSPITAL DR, GME, DC018.00, MA101, COLUMBIA, MO 65201-5276
(573) 882-1201
(573) 884-4612
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2010017404
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA09771000
NJ
Other
Enumeration date
06/14/2010
Last updated
05/04/2026
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