Individual
LARRY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1632 STONE ST, SAGINAW, MI 48602
(989) 746-7611
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351049594
MI
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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