Individual
XIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
THE CENTER FOR PROSTATE CANCER, 420 DELAWARE STREET SE, MAYO BUILDING, FOURTH FLOOR, MINNEAPOLIS, MN 55455
(612) 625-6401
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE MMC 292, MINNEAPOLIS, MN 55455
(612) 625-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
39711
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079033
—
MT
05
—
0581330
—
IA
01
—
1025051
PREFERREDONE
MN
01
—
1079981
ARAZ
MN
01
—
110486
FAIRVIEW
MN
01
—
128600
UCARE
MN
01
—
24-00143
MEDICA - CHOICE
MN
01
—
24-00180
MEDICA
MN
01
—
24-02006
MEDICA - PRIMARY
MN
05
—
34230700
—
WI
01
—
557R9WA
BLUE CROSS BLUE SHIELD
MN
05
—
977014300
—
MN
01
—
B002
CHAMPUS
MN
01
—
HP31003
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
07/08/2007
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