Individual
YEUK TING BONNIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5550 S EAST ST STE C, INDIANAPOLIS, IN 46227-1991
(317) 534-4660
Mailing address
6261 LANCASTER PL, ZIONSVILLE, IN 46077-9167
(317) 344-2019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068060A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200990230
—
IN
Enumeration date
06/09/2008
Last updated
04/05/2022
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