Provider Demographics
NPI:1942240056
Name:WANG, ZHUOWEI (MD)
Entity Type:Individual
Prefix:
First Name:ZHUOWEI
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 15TH AVE SW
Mailing Address - Street 2:STE A
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-7495
Mailing Address - Country:US
Mailing Address - Phone:253-845-0420
Mailing Address - Fax:253-845-0426
Practice Address - Street 1:201 15TH AVE SW
Practice Address - Street 2:STE A
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-7495
Practice Address - Country:US
Practice Address - Phone:253-845-0420
Practice Address - Fax:253-845-0426
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00046041207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I02609Medicare UPIN