Individual
DR. JEFFREY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
809 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 533-5041
Mailing address
809 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 533-5041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41759
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41759
OKLAHOMA MEDICAL BOARD
OK
Enumeration date
03/28/2020
Last updated
03/13/2024
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