Provider Demographics
NPI:1336387356
Name:WONG, SIEW M (MD)
Entity Type:Individual
Prefix:
First Name:SIEW
Middle Name:M
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3900 S ZINTEL WAY
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-942-2268
Practice Address - Street 1:8819 W VICTORIA AVE STE 130
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7193
Practice Address - Country:US
Practice Address - Phone:509-460-5500
Practice Address - Fax:509-460-5111
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2022-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60223678207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology