Individual
KEVIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.144544
OH
207W00000X
Ophthalmology Physician
Primary
75931
MN
Other
Enumeration date
04/05/2018
Last updated
11/14/2024
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