Individual
XIAO DONG WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6944 N HANLEY RD, HAZELWOOD, MO 63042-2933
(314) 522-8896
Mailing address
6944 N HANLEY RD, HAZELWOOD, MO 63042-2933
(314) 522-8896
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
2002014408
MO
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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