Individual
DENNIS OLIVER WANG
Active
Individual
DENNIS OLIVER WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD00045531
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00045531
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD00045531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252008
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
WA
01
—
0252024
LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
WA
01
—
G8882797
PTAN-TRA PIERCE CO
WA
01
—
G8882798
PTAN-TRA KING CO
WA
01
—
G8882799
PTAN-UAOM
WA
Enumeration date
08/31/2006
Last updated
09/03/2024
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