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NPI Code Detail

MEDICARE: ZHIYUAN WANG

MEDICARE:   ZHIYUAN  WANG
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
1183500000XPharmacist5302041206MI

General Provider Information

NPI Number : 1518412501
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZHIYUAN WANG
Provider Business Mailing Address
First Line : 3016 S WESTNEDGE AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-2439
Country : US
Telephone Number : 269-552-1518
Fax Number :
Provider Business Practice Location Address
First Line : 3016 S WESTNEDGE AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-2439
Country : US
Telephone Number : 269-552-1518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2016
Last Update Date : 09/30/2016

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Directions to “ ZHIYUAN WANG ” Practice Location

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