Individual
HAILONG WANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 362-7444
(608) 362-0417
Mailing address
3005 RIVERSIDE DR, SUITE 206, BELOIT, WI 53511-1500
(608) 362-7444
(608) 362-0417
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45163-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13384
DEANCARE HMO
WI
05
—
34325800
—
WI
Enumeration date
10/13/2005
Last updated
07/08/2007
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