Individual
DR. ANDY WAI MING WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1509 WILSON TER, EMERGENCY DEPARTMENT, GLENDALE, CA 91206-4007
(818) 409-8202
Mailing address
4201 SAINT ANTOINE ST, 6G UHC, DETROIT, MI 48201-2153
(313) 993-2530
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A112021
CA
Other
Enumeration date
03/25/2008
Last updated
09/14/2010
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