MEDICARE: WEI SONG 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
1	207Q00000X	Family Medicine Physician	R8331	IA

General Provider Information

NPI Number	:	1083879001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEI SONG MD

Provider Business Mailing Address
First Line	:	PO BOX 1894
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50402-1894
Country	:	US
Telephone Number	:	641-494-3041
Fax Number	:	641-494-3059

Provider Business Practice Location Address
First Line	:	101 S TAYLOR AVE
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-2849
Country	:	US
Telephone Number	:	641-422-7779
Fax Number	:

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

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	12/20/2021

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Directions to “ WEI SONG MD” Practice Location

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