Individual
MR. JWONG H LING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2431 SOUTH M30, SETON CANCER INSTITUTE RADIATION ONCOLOGY, WEST BRANCH, MI 48661
(989) 343-3600
(989) 343-3610
Mailing address
2431 SOUTH M30, SETON CANCER INSTITUTE RADIATION ONCOLOGY, WEST BRANCH, MI 48661
(989) 343-3600
(989) 343-3610
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301031404
MI
2085R0001X
Radiation Oncology Physician
MD460447
PA
2085R0203X
Therapeutic Radiology Physician
43709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687650100
—
MN
01
—
73B34LI
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
09/02/2005
Last updated
11/19/2024
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