Individual
JUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10351 DAWSONS CREEK BLVD, STE D, FORT WAYNE, IN 46825-1904
(260) 969-1950
(260) 969-0989
Mailing address
PO BOX 11535, FORT WAYNE, IN 46859-1535
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01060887
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200850020
—
IN
Enumeration date
12/12/2005
Last updated
11/06/2008
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