Individual
TALLEY BHANYANG WHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 S ROGERS ST, BLOOMINGTON, IN 47403-4792
(812) 339-6434
Mailing address
1200 S ROGERS ST, BLOOMINGTON, IN 47403-4792
(812) 339-6434
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01073939A
IN
207ND0900X
Dermatopathology Physician
01073939A
IN
Other
Enumeration date
03/26/2008
Last updated
03/11/2021
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