Individual
WINNIE MAO YIU TONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7945 WOLF RIVER BLVD STE 290, UT MEDICAL GROUP, DEPT OF PLASTIC SURGERY, GERMANTOWN, TN 38138
(901) 866-8525
(901) 302-2525
Mailing address
7945 WOLF RIVER BLVD STE 290, UT MEDICAL GROUP, DEPT OF PLASTIC SURGERY, GERMANTOWN, TN 38138
(901) 866-8525
(901) 302-2525
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P8316
TX
208600000X
Surgery Physician
A88471
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
48995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328758301 (MDACC)
—
TX
01
—
8EC549
BCBS (MDACC)
TX
Enumeration date
03/11/2008
Last updated
02/11/2022
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