Individual
MINGTAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1266
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1266
(173) 514-8372
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036106997
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106997
—
IL
Enumeration date
08/09/2006
Last updated
01/05/2022
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