Provider Demographics
NPI:1902497381
Name:WANG, ZIMING
Entity type:Individual
Prefix:
First Name:ZIMING
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 HAWKEYE CT APT 111
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2865
Mailing Address - Country:US
Mailing Address - Phone:814-862-8104
Mailing Address - Fax:
Practice Address - Street 1:260 HAWKEYE CT APT 111
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2865
Practice Address - Country:US
Practice Address - Phone:814-862-8104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health