Individual
DR. ARTHUR F WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 S. MAIN, SUITE 101, MISHAWAKA, IN 46544-2159
(574) 257-1000
(574) 257-0697
Mailing address
303 S. MAIN, SUITE 101, MISHAWAKA, IN 46544-2159
(574) 257-1000
(574) 257-0697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1037862
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10091980B22
—
IN
01
—
DC1877
RAILROAD MEDICARE
IN
01
—
P000153254
RAILROAD MEDICARE
IN
Enumeration date
11/14/2005
Last updated
05/17/2021
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