MEDICARE: WEIHUA 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
1	171100000X	Acupuncturist	AC 60043305	WA

General Provider Information

NPI Number	:	1962637421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEIHUA WANG

Provider Business Mailing Address
First Line	:	12040 40TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5729
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6217 ROOSEVELT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-6614
Country	:	US
Telephone Number	:	206-313-0961
Fax Number	:

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

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	05/27/2009

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Directions to “ WEIHUA WANG ” Practice Location

Language	Start Address	Practice Location

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