Individual
ZHIYU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1628 S MILDRED ST, STE 104, TACOMA, WA 98465-1627
(253) 565-6777
(253) 565-8777
Mailing address
1628 S MILDRED ST, STE 104, TACOMA, WA 98465-1627
(253) 565-6777
(253) 565-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60209366
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD60209366
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282545
L&I
WA
01
—
0282781
L&I
WA
01
—
G8902127
MEDICARE
WA
Enumeration date
04/07/2009
Last updated
07/02/2014
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