Individual
DR. WESLEY BLAKE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 VIRGINIA AVE, MAIL NO. IN0205-A547, INDIANAPOLIS, IN 46204-3709
(317) 287-8524
Mailing address
4753 E 136TH ST, CARMEL, IN 46033-9339
(317) 843-9146
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01031410A
IN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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