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Individual

DR. QINGLIANG TONY WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
611 W PARK ST, NEUROLOGY, URBANA, IL 61801-2529
(217) 383-3440
(217) 383-3171
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6941

Taxonomy

Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
036141980
IL
2084V0102X
Vascular Neurology Physician
252321
NY
2084V0102X
Vascular Neurology Physician
MD446228
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102737314
PA
Enumeration date
12/07/2009
Last updated
03/23/2017
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