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Individual

WAN CHONG TSAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4660 S HAGADORN RD, SUITE 405, EAST LANSING, MI 48823-5376
(517) 884-8600
(517) 884-8650
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301062502
MI
2080P0214X
Pediatric Pulmonology Physician
Primary
35096852
OH
2080P0214X
Pediatric Pulmonology Physician
4301062502
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07089
PARAMOUNT
OH
05
1528074705
MI
05
2083392
OH
05
3515022
MI
01
5243688
AETNA
OH
Enumeration date
07/31/2006
Last updated
01/10/2022
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