Individual
MR. MICHAEL A WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1766 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1945
(702) 843-2440
(833) 749-0349
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7120
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2743
NV
Other
Enumeration date
03/21/2017
Last updated
12/15/2021
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