Individual
DR. JACK Z WANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 CLINTON ST, HACKLEY CANCER CENTER, MUSKEGON, MI 49442-5502
(231) 728-4949
(231) 728-4062
Mailing address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(501) 410-1148
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
43010067642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432196310
—
MI
Enumeration date
08/19/2005
Last updated
07/19/2019
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