Individual
DR. STUART WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6805
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6805
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
33593
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000226N
HUMANA
—
05
—
1265483291
—
WI
Enumeration date
05/15/2006
Last updated
09/25/2014
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