Individual
YUXUAN JERRY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 NE 87TH AVE STE 301, VANCOUVER, WA 98664-1965
(360) 514-1854
Mailing address
26520 CACTUS AVE., RCRMC GENERAL RESIDENCY RESIDENCY PROGRAM, MORENO VALLEY, CA 92555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A131054
CA
208600000X
Surgery Physician
MD60862280
WA
2086S0127X
Trauma Surgery Physician
Primary
MD60862280
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2012
Last updated
07/19/2018
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