Provider Demographics
NPI:1669497905
Name:YANG, WENDY J (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:J
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1000 HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5303
Mailing Address - Country:US
Mailing Address - Phone:989-583-6812
Mailing Address - Fax:989-583-6915
Practice Address - Street 1:1000 HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5303
Practice Address - Country:US
Practice Address - Phone:989-583-6812
Practice Address - Fax:989-583-6915
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301077688207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI381870664OtherHEALTH CARE ALLIANCE POOL
MIP00178307OtherRAILROAD MEDICARE
MI0731096OtherBCBSM
MI080G376200OtherBCBSM
MI146521OtherGREAT LAKES HEALTH PLAN
MI381870664OtherPPOM
MI7780591OtherAETNA
MI381870664OtherCOMMERCIAL
MI104700722Medicaid
MI381870664OtherPRIVATE HEALTHCARE SYSTEM
MI381870664068OtherCOMMUNITH CHOICE MICHIGAN
MI381870664OtherPRIORITY HEALTH
MIWY077688OtherLICENSE