Individual
DUANE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-3153
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35135868
OH
208200000X
Plastic Surgery Physician
Primary
MD61064481
WA
208200000X
Plastic Surgery Physician
R3352
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336583350
—
WA
Enumeration date
04/21/2013
Last updated
07/30/2020
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