Organization
BONITA M L WANG, D,O.,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA M L WANG, D.O., PLC D.O. (OWNER)
(810) 732-1900
Entity
Organization
Contact information
Practice address
1425 S GRAHAM RD, FLINT, MI 48532-3538
(810) 732-1900
(810) 732-1925
Mailing address
12745 S SAGINAW ST, STE 806-189, GRAND BLANC, MI 48439-2437
(810) 732-1900
(810) 732-1925
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101011000
MI
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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