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Individual

DR. WANLI CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 362-9511
Mailing address
PO BOX 20169, ROANOKE, VA 24018-0506

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
2007-00925
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2007-00925
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1481M
BCBS OF NC
NC
01
P00725077
RAILROAD MEDICARE
Enumeration date
12/15/2005
Last updated
10/16/2018
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