Individual
CONSTANCE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 4TH AVE, STE 420, SEATTLE, WA 98154-1119
(206) 320-3351
(206) 554-7787
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 320-3351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00028397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126353
LABOR AND INDUSTRIES
WA
05
—
1069145
—
WA
Enumeration date
12/15/2006
Last updated
10/09/2020
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