Individual
JASON MICHAEL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W. WISCONSIN AVENUE, FROEDTERT/MEDICAL COLLEGE LAB BUILDING 239, MILWAUKEE, WI 53226-3522
(414) 805-8576
Mailing address
9200 W. WISCONSIN AVENUE, FROEDTERT/MEDICAL COLLEGE LAB BUILDING 239, MILWAUKEE, WI 53226-3522
(414) 805-8576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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