Individual
GRAND FU KWOK WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 RENAISSANCE BLVD, EDMOND, OK 73013-3022
(405) 844-4300
(405) 844-4333
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 844-4300
(405) 844-4333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004020460
MO
Other
Enumeration date
09/20/2005
Last updated
07/14/2017
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