Individual
GRACE YIWEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7301 SECOR RD, LAMBERTVILLE, MI 48144-9737
(419) 479-5795
(419) 479-5797
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
(419) 479-5593
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
4301104706
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101266067
VA
Other
Enumeration date
04/23/2014
Last updated
07/02/2024
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