MEDICARE: JUN WANG M.D.

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
1	207L00000X	Anesthesiology Physician	01060887	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1457336539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUN WANG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11535
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46859-1535
Country	:	US
Telephone Number	:	317-567-2180
Fax Number	:	317-567-2191

Provider Business Practice Location Address
First Line	:	10351 DAWSONS CREEK BLVD
Second Line	:	STE D
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1904
Country	:	US
Telephone Number	:	260-969-1950
Fax Number	:	260-969-0989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	11/06/2008

Similar Medicare Providers

1588991939 — DUPONT PHYSICAL THERAPY INC
Practice Location Address:

10351 DAWSONS CREEK BLVD , SUITE H
FORT WAYNE, IN
46825-1904

Practice Phone: 260-489-9533
Practice Fax: 260-497-9088

1427158716 — DR. VENKATRAM NETHALA M.D.
Practice Location Address:

935 WAYNE RD
SAVANNAH, TN
38372-1904

Practice Phone: 731-926-8000
Practice Fax:

1912056300 — DR. ANTHONY H. RAMIREZ M.D.
Practice Location Address:

935 WAYNE RD
SAVANNAH, TN
38372-1904

Practice Phone: 731-926-8100
Practice Fax: 731-926-8155

1134396153 — DR. JUSTIN MATTHEW WHITLEY M.D.
Practice Location Address:

935 WAYNE RD
SAVANNAH, TN
38372-1904

Practice Phone: 731-926-8190
Practice Fax: 731-926-8219

1316246705 — HMC PHYSICIAN SERVICES
Practice Location Address:

935 WAYNE ROAD
SAVANNAH, TN
38372-1904

Practice Phone: 731-925-9909
Practice Fax: 731-925-3323

1124317284 — BRIAN CHRISTOPHER QUALLS MD
Practice Location Address:

935 WAYNE RD
SAVANNAH, TN
38372-1904

Practice Phone: 731-926-8000
Practice Fax: 731-926-8160

Directions to “ JUN WANG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.