Individual
MENGRU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-4423
(206) 744-8516
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML60658803
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD60881246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629486089
—
WA
Enumeration date
07/30/2014
Last updated
02/23/2024
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