MARK WANG — Medicare Enrolled Provider (PRACTITIONER - PATHOLOGY, IL)
MARK WANG — Medicare Enrolled Provider (PRACTITIONER - PATHOLOGY, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: MARK WANG; Type: Individual; NPI: 1003043167.
| Name | MARK WANG |
|---|---|
| Type | Individual |
| NPI | 1003043167 |
| Provider type | PRACTITIONER - PATHOLOGY |
| State | IL |
| Enrollment ID | I20140728001919 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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