Individual
AMY MICHELLE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4466
(937) 440-4470
Mailing address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4466
(937) 440-4470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.096725
OH
208000000X
Pediatrics Physician
35.096725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104020
—
OH
Enumeration date
04/30/2009
Last updated
03/09/2017
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