Individual
DR. STEVEN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(908) 656-2900
Mailing address
2458 LAKE AVE, FORT WAYNE, IN 46805
(260) 424-2195
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01074110A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/08/2007
Last updated
06/20/2014
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