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Individual

DR. GEORGE TIAN-YI WANG

Active
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Individual

DR. GEORGE TIAN-YI WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
4301083789
MI
2085R0202X
Diagnostic Radiology Physician
200800524
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD60071506
WA
390200000X
Student in an Organized Health Care Education/Training Program
4301083789
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G8882905
PTAN-UAOM
WA
Enumeration date
03/20/2007
Last updated
09/03/2024
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