Individual
DR. GRACE CHRISTINE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5757
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R4163
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01088081A
IN
207RP1001X
Pulmonary Disease Physician
01088081A
IN
Other
Enumeration date
04/15/2016
Last updated
07/10/2025
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