Individual
LINDA M WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35077793W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139731
ANTHEM BCBS
—
05
—
2173197
—
OH
01
—
34181853100
WORKERS COMP GROUP
OH
01
—
341818531LW
SUMMACARE INC
—
05
—
L2173197
—
OH
Enumeration date
08/03/2005
Last updated
12/01/2011
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