Individual
DR. KONG WAI WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28482 CHERRY HILL RD, SUITE B, GARDEN CITY, MI 48135-4703
(734) 425-2828
(734) 425-1138
Mailing address
28482 CHERRY HILL RD, SUITE B, GARDEN CITY, MI 48135-4703
(734) 425-2828
(734) 425-1138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007900
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126155
—
MI
Enumeration date
06/23/2006
Last updated
07/05/2010
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