Individual
JIEQI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1210 W 18TH ST STE LL03, SIOUX FALLS, SD 57104-4654
(605) 328-1410
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
291125
MA
2085R0202X
Diagnostic Radiology Physician
PENDING
MO
Other
Enumeration date
03/20/2017
Last updated
10/24/2023
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