Individual
SHU-MING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
908 N HOWARD AVE STE 109, GRAND ISLAND, NE 68803-3529
(308) 398-5522
Mailing address
908 N HOWARD AVE, STE 109, GRAND ISLAND, NE 68803-3529
(701) 774-7400
(701) 774-7479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12316
ND
207Q00000X
Family Medicine Physician
Primary
27571
NE
207Q00000X
Family Medicine Physician
MD00037592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26198
OK LICENSE
OK
01
—
36827
OBNDD
OK
Enumeration date
07/07/2006
Last updated
04/26/2021
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