Individual
ALFRED Z WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD # B401, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Mailing address
7162 WISE AVE, SAINT LOUIS, MO 63117-1817
(314) 387-3584
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020013159
MO
390200000X
Student in an Organized Health Care Education/Training Program
11019015A
IN
Other
Enumeration date
06/20/2016
Last updated
03/06/2021
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