Individual
RICHARD MICHAEL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 E WEBER AVE, STOCKTON, CA 95202-2706
(209) 466-5566
(209) 466-0535
Mailing address
255 E WEBER AVE, STOCKTON, CA 95202-2706
(209) 466-5566
(209) 466-0535
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A62188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A621880
—
CA
Enumeration date
10/16/2006
Last updated
07/19/2012
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