| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JIN YUAN WANG | 1396372850 | 2023-09-14 |
Jin Yuan Wang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396372850. Registration indicates Jin Yuan Wang is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Dr. Jin Yuan Wang MD |
| Practice Office Address | 1650 S 41ST ST MANITOWOC, WI US |
| Practice Office Telephone | 9203202436 |
| Mailing Address | 1650 S 41ST ST MANITOWOC, WI 542207316 US |
| Business Telephone | 9203202436 |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 82010
WI |