Individual
DR. JEREMIAH JONATHAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2367
Mailing address
1145 S UTICA AVE STE 600, TULSA, OK 74104-4070
(918) 579-2367
(918) 579-2369
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34947
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
04/20/2022
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