Basic Information
| Provider Information | |||||||||
| NPI: | 1114036787 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WANG | ||||||||
| FirstName: | HSIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5686 CHERRY LANE | ||||||||
| Address2: | |||||||||
| City: | W. BLOOMFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486817794 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2520 S TELEGRAPH RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | BLOOMFIELD HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483020285 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483359207 | ||||||||
| FaxNumber: | 2483352394 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 4301074504 | MI | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.