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Individual

FRED T. WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 HARVEST LN, HOCKESSIN, DE 19707-2080
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10038800
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0008270
DE

Other

Enumeration date
08/31/2006
Last updated
10/31/2017
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