Individual
WAYNE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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