Individual
DR. EMILY T WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 S CANTON CENTER RD, SUITE 360, CANTON, MI 48188-1992
(734) 394-2661
(734) 394-2666
Mailing address
1600 S CANTON CENTER RD, SUITE 360, CANTON, MI 48188-1992
(734) 394-2661
(734) 394-2666
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
4301091413
MI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
4301091413
MI
208000000X
Pediatrics Physician
4301091413
MI
208000000X
Pediatrics Physician
A74212
CA
2080P0201X
Pediatric Allergy/Immunology Physician
A74212
CA
Other
Enumeration date
02/24/2006
Last updated
07/20/2016
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