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Wendi Wang, DO
Neurology with Special Qualifications in Child Neurology Physician in Grand Rapids, Michigan
NPI 1841933512

Wendi Wang is a Neurology with Special Qualifications in Child Neurology Physician based in Grand Rapids, MI and is specialized in Neurology with Special Qualifications in Child Neurology. Wendi Wang practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Wendi Wang is 1841933512 and holds a License No. (Michigan).

The current practice location address for Wendi Wang is 330 Barclay Ave Ne Ste 300, Grand Rapids, MI and can be reached out via phone at 616-391-8810.

Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI, 49503-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841933512
Provider Name
Wendi Wang
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
330 Barclay Ave Ne Ste 300, Grand Rapids, MI, 49503-2527
Phone Number
616-391-8810
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5151016242 01 MI OSTEOPATHIC PHYSICIAN EDUCATIONAL LIMITED LICENSE
institution
Provider Business Practice Location Address Details
Address
330 Barclay Ave Ne Ste 300
City
Grand Rapids
State
Michigan
Zip
49503-2527
Phone Number
616-391-8810
Fax Number
person
Provider Business Mailing Address Details
Address
330 Barclay Ave Ne Ste 300
City
Grand Rapids
State
Michigan
Zip
49503-2527
Phone Number
616-391-8810
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
5151016242 (Michigan)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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