Individual
DR. MARJORIE C WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
48012
WI
207T00000X
Neurological Surgery Physician
MD00041524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039906262L
HUMANA
—
05
—
1346293479
—
WA
Enumeration date
05/18/2006
Last updated
01/28/2016
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