Individual
DR. STACI JOANN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN 2ND FLOOR CARL'S, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201-2119
(313) 745-5515
(313) 745-5237
Mailing address
4201 ST. ANTOINE UHC 5D MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301090477
MI
Other
Enumeration date
01/19/2008
Last updated
01/26/2016
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