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Individual

DR. JOHN E WING

Active
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Individual

DR. JOHN E WING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101047369
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
095436
ANTHEM
VA
05
6068286
VA
05
890658E
NC
Enumeration date
01/19/2007
Last updated
03/18/2010
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