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NPI Code Detail

MEDICARE: WEIWEI WANG

MEDICARE: WEIWEI 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
1363LF0000XFamily Nurse Practitioner71003839AIN

General Provider Information

NPI Number : 1831460963
Entity Type Code : Individual
Provider Name (Legal Business Name) : WEIWEI WANG
Provider Business Mailing Address
First Line : 5549 DILL CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-9448
Country : US
Telephone Number : 317-460-2114
Fax Number :
Provider Business Practice Location Address
First Line : 8970 S MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-5031
Country : US
Telephone Number : 317-882-0335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2012
Last Update Date : 01/20/2012

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Directions to “ WEIWEI WANG ” Practice Location

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