Organization
MIN GUANG WANG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIN-GUANG WANG M.D. (OWNER)
(360) 736-0051
Entity
Organization
Contact information
Practice address
2600 WILSON ST, MILES CITY, MT 59301-5094
(360) 736-0051
Mailing address
167 RIVER HEIGHTS RD, CENTRALIA, WA 98531-9025
(360) 736-0051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10713
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093857
—
MT
Enumeration date
01/15/2007
Last updated
08/22/2020
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