Individual
DR. GRACE WENJUN GUO
Active
Individual
DR. GRACE WENJUN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
C10006921
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10233585
—
VA
05
—
1967012
—
PA
05
—
2644993
—
NY
05
—
4025849
—
MD
05
—
5525
—
NJ
05
—
627447000
—
MN
05
—
91013900
—
FL
05
—
GG68136
—
RI
05
—
Q06920
—
SC
Enumeration date
09/29/2006
Last updated
02/04/2013
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