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Individual

DR. MICHAEL BENJAMIN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8109, ST. LOUIS, MO 63110
(314) 362-5000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD.61592102
WA
208600000X
Surgery Physician
2020018154
MO

Other

Enumeration date
06/24/2020
Last updated
11/15/2024
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