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Individual

JENNY H WANG

Active
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Individual

JENNY H WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34010870
OH
2085R0202X
Diagnostic Radiology Physician
5101017374
MI
2085R0202X
Diagnostic Radiology Physician
Primary
DO218387
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34010870
OHIO MEDICAL LICENSE
OH
Enumeration date
07/31/2007
Last updated
03/19/2024
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