Individual
GENE C WONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 MAPLE ST, WOODRUFF, WI 54568-0470
(715) 356-8537
(715) 356-8286
Mailing address
240 MAPLE ST, PO BOX 470, WOODRUFF, WI 54568-0470
(715) 356-8537
(715) 356-8286
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30877-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31583500
—
WI
Enumeration date
05/25/2006
Last updated
07/09/2007
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