| Michael X Wang, MD | |
| 
					One Hospital Dr, Columbia, MO 65212-0001  | |
| (573) 882-1276 | |
| Not Available | 
| Full Name | Michael X Wang | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | One Hospital Dr, Columbia, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073550794 | NPI | - | NPPES | 
| 208369504 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | 2004035778 (Missouri) | Secondary | 
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2004035778 (Missouri) | Primary | 
| Entity Name | Albany Medical College | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael X Wang, MD Po Box 7687, Columbia, MO 65205-7687 Ph: (573) 882-2259  | Michael X Wang, MD One Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-1276  | 
Thomas Bart Shaw, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Charles W Caldwell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1013 Marcassin Dr, Columbia, MO 65201 Phone: 573-442-8442  | |
Paul J Mcgowan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Fnu Sonam, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-3014  | |
Lester J. Layfield, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1201 Fax: 573-884-4612  | |
Grant Van Dyke Darkow, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Anna Venneman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  |