Individual
DR. KENNETH KANG WA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
27118 GRATIOT AVE, ROSEVILLE, MI 48066-2915
(586) 745-0863
Mailing address
2211 S TELEGRAPH RD UNIT 7061, BLOOMFIELD HILLS, MI 48302-4802
(586) 745-0863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004359
MI
Other
Enumeration date
03/22/2006
Last updated
05/05/2022
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