Individual
MARIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2303 HIGGINS RD STE F, PLATTE CITY, MO 64079-7101
(913) 758-6980
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(808) 295-8526
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
61048
HI
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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