Individual
DR. WESLEY WONG BOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7906 MOSS GROVE PL, FORT WAYNE, IN 46825-3549
(260) 489-9635
Mailing address
7906 MOSS GROVE PL, FORT WAYNE, IN 46825-3549
(260) 489-9635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038097A
IN
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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