Individual
JONATHAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4267
(253) 596-3300
(253) 596-3301
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4267
(253) 596-3300
(253) 596-3301
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
64782-20
WI
208800000X
Urology Physician
Primary
MD60937720
WA
Other
Enumeration date
04/04/2014
Last updated
05/10/2021
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