Individual
MICHAEL S WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088605
MI
207RI0200X
Infectious Disease Physician
Primary
4301088605
MI
208M00000X
Hospitalist Physician
4301088605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101111011
BLUE CROSS
MI
01
—
1538397120
GROUP NPPES #
MI
01
—
27-0381199
GROUP TAX ID
MI
05
—
4897314
—
MI
Enumeration date
07/31/2006
Last updated
10/31/2025
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