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Individual

AMY T WANG

Active
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Individual

AMY T WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51010
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
01
P00888773
MEDICARE, RAILROAD
MN
Enumeration date
06/13/2007
Last updated
03/17/2011
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