Individual
DR. JOSEPH L WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 556-1719
Mailing address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 556-1719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
105279
MO
207RG0100X
Gastroenterology Physician
Primary
105279
MO
207RG0100X
Gastroenterology Physician
MD-26081
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0288557
HEALTHLINK
MO
01
—
1000009318
RAILROAD MEDICARE
MO
01
—
101132
BCBS
MO
05
—
208254508
—
MO
01
—
55163
GHP
MO
01
—
CP9089
RAILROAD GROUP
MO
Enumeration date
03/23/2006
Last updated
10/21/2025
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