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Individual

DR. MICHAEL WAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11100 WARNER AVE, SUITE 150B, FOUNTAIN VALLEY, CA 92708-7510
(714) 546-6600
(714) 546-6608
Mailing address
11100 WARNER AVE, SUITE 150B, FOUNTAIN VALLEY, CA 92708-7510
(714) 546-6600
(714) 546-6608

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A36431
CA

Other

Enumeration date
04/14/2006
Last updated
09/27/2012
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