Individual
THERESA IHSIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75-5751 KUAKINI HWY, SUITE 101A, KAILUA KONA, HI 96740-1752
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY, SUITE 101A, KAILUA KONA, HI 96740-1752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13983
HI
207Q00000X
Family Medicine Physician
38667
WI
Other
Enumeration date
09/29/2005
Last updated
04/08/2008
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