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NPI Code Detail

MEDICARE: EMILY MEI-YUE WENG MD

MEDICARE: EMILY MEI-YUE WENG MD
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
1207Q00000XFamily Medicine Physician4301046339MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19705OTHERMICAPE HEALTH PLAN
2700E001260OTHERMIBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700882669
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MEI-YUE WENG MD
Provider Business Mailing Address
First Line : 13439 E 14 MILE RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-6304
Country : US
Telephone Number : 586-977-3900
Fax Number : 586-977-6084
Provider Business Practice Location Address
First Line : 13439 E 14 MILE RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-6304
Country : US
Telephone Number : 586-977-3900
Fax Number : 586-977-6084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 04/17/2013

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Directions to “ EMILY MEI-YUE WENG MD” Practice Location

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