Provider Demographics
NPI:1952613283
Name:WONG, HALEI K (MD)
Entity Type:Individual
Prefix:DR
First Name:HALEI
Middle Name:K
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4881 SUGAR MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:WRIGHT PATTERSON AFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433-5529
Mailing Address - Country:US
Mailing Address - Phone:937-257-1160
Mailing Address - Fax:937-257-3012
Practice Address - Street 1:4881 SUGAR MAPLE DR
Practice Address - Street 2:
Practice Address - City:WRIGHT PATTERSON AFB
Practice Address - State:OH
Practice Address - Zip Code:45433-5529
Practice Address - Country:US
Practice Address - Phone:937-257-1160
Practice Address - Fax:405-271-8547
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2021-08-19
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Provider Licenses
StateLicense IDTaxonomies
OK33593207VF0040X
NE29833207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology