Individual
SHANNON L. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 559-8363
(402) 559-9513
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
29358
NE
208600000X
Surgery Physician
53627
WI
Other
Enumeration date
11/17/2008
Last updated
08/02/2016
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