Individual
JONATHAN M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-6978
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
135101
CA
207RC0000X
Cardiovascular Disease Physician
Primary
73827
MN
207UN0901X
Nuclear Cardiology Physician
A135101
CA
2471C3401X
Computed Tomography Radiologic Technologist
A135101
CA
Other
Enumeration date
03/27/2013
Last updated
10/01/2023
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