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Individual

DR. PENG NAN WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 MEMORIAL DR STE 103, ALTON, IL 62002-6723
(618) 259-5096
(314) 275-8637
Mailing address
130 GREENTRAILS DR N, CHESTERFIELD, MO 63017-2552
(314) 469-1302
(314) 275-8637

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-052044
IL

Other

Enumeration date
09/07/2005
Last updated
04/21/2011
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