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Individual

DR. MARJORIE C WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115

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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