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Individual

WAYNE YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1025 MOREHEAD MEDICAL DR, SUITE 300, CHARLOTTE, NC 28204-2963
(704) 355-1813
(704) 355-5980
Mailing address
3340 S. OAK PARK AVE, STE. 309, BERWYN, IL 60402-3483
(708) 484-0621
(708) 484-0250

Taxonomy

Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
Primary
036.141461
IL
208600000X
Surgery Physician
2015-00961
NC
208600000X
Surgery Physician
4301095093
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730319336
NC
05
NC2410
SC
Enumeration date
07/17/2009
Last updated
09/01/2016
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