Individual
YAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3789
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, MINNEAPOLIS, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
48082
MN
Other
Enumeration date
12/22/2005
Last updated
03/08/2012
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