Individual
DR. MICHAEL SHELDON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 STOCKTON BLVD., SACRAMENTO, CA 95817-1418
(916) 734-2130
(916) 734-7104
Mailing address
2221 STOCKTON BLVD, SUITE 2123, SACRAMENTO, CA 95817-1418
(916) 734-2130
(916) 734-7104
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
G78666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G78666
MEDICAL LICENSE
CA
Enumeration date
12/07/2005
Last updated
03/10/2014
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