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NPI Code Detail

MEDICARE: MENG-CHUN WANG PT, CHT

MEDICARE:   MENG-CHUN  WANG  PT, CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251H1200XHand Physical TherapistPT007664OH
2225100000XPhysical Therapist11121WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023032299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MENG-CHUN WANG PT, CHT
Provider Business Mailing Address
First Line : 3301 W FOREST HOME AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-2843
Country : US
Telephone Number : 414-649-7900
Fax Number : 414-649-7499
Provider Business Practice Location Address
First Line : 2801 W KINNICKINNIC RIVER PKWY STE 370
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3678
Country : US
Telephone Number : 414-649-7900
Fax Number : 414-649-7499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 12/08/2021

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Directions to “ MENG-CHUN WANG PT, CHT” Practice Location

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