Individual
WAN YUNG SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 334TH STREET, WOODWARD, IA 50276
(515) 438-3600
(515) 438-3631
Mailing address
1215 334TH STREET, WOODWARD, IA 50276
(515) 438-3265
(515) 438-3631
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21750
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138198
—
IA
Enumeration date
01/17/2007
Last updated
07/08/2007
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