Individual
GUOLIANG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 457-8180
(614) 583-3300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2023008567
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063429
—
MO
Enumeration date
05/11/2017
Last updated
07/03/2023
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