Individual
BONITA M. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
G-1425 S. GRAHAM ROAD, FLINT, MI 48532
(810) 732-1900
(810) 732-1925
Mailing address
12745 S SAGINAW ST, 806-189, GRAND BLANC, MI 48439-2437
(810) 732-1900
(810) 732-1925
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101011000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4153160
—
MI
Enumeration date
08/01/2006
Last updated
08/28/2008
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