Individual
DR. JAKE XIAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHS
Contact information
Practice address
2820 W MARKET ST STE 210, FAIRLAWN, OH 44333-4092
(440) 848-3567
Mailing address
2820 W MARKET ST STE 210, FAIRLAWN, OH 44333-4092
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
68092
CT
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35145662
OH
390200000X
Student in an Organized Health Care Education/Training Program
272225
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
06/12/2017
Last updated
05/24/2024
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