Individual
LI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22707 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 455-2845
(425) 861-8602
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301093329
MI
207Q00000X
Family Medicine Physician
Primary
MD60226723
WA
Other
Enumeration date
08/14/2008
Last updated
10/09/2020
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