Individual
AY-MING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6769
(248) 423-3144
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
4301040672
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1953699
—
MI
01
—
300F362420
BCBSM
MI
Enumeration date
03/24/2006
Last updated
07/21/2022
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