Individual
CINDY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8856
Mailing address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8856
(313) 582-8265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004166
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4738944
—
MI
Enumeration date
01/10/2006
Last updated
02/06/2008
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