Wang, Dajun
Wang, Dajun is an individual health care provider with primary practice located at 13250 Washington Ave , Mount Pleasant WI 53177-1516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Wang, Dajun can be contacted via phone (888) 720-2012.Contact Information
Primary practice address
13250 Washington Ave
Mount Pleasant WI 53177-1516
Phone: (888) 720-2012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 56207 | Wisconsin |
Profile Details
| NPI number | 1174847867 |
|---|---|
| LBN Legal business name | Wang, Dajun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2010 |
| Last updated | Oct 4th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174847867 | NPPES |
| Wisconsin | MEDICAID | 100031190 |
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