Individual
ZHIQIAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11311 BRIDGEPORT WAY SW, STE 214, LAKEWOOD, WA 98499-3051
(253) 985-6490
(253) 985-6488
Mailing address
11311 BRIDGEPORT WAY SW, STE 214, LAKEWOOD, WA 98499-3051
(253) 985-6490
(253) 985-6488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9748
ND
207R00000X
Internal Medicine Physician
MD00047633
WA
207RR0500X
Rheumatology Physician
Primary
MD00047633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253085
STATE L&I
WA
01
—
0253087
STATE L&I
WA
05
—
13111
—
ND
Enumeration date
07/19/2005
Last updated
01/26/2011
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