| Walter K T Wong Md Sc | |
|
2424 S 90th St Ste. 202 West Allis WI 53227-2455 | |
| (414) 328-7646 | |
| (414) 328-7699 |
| Full Name | Walter K T Wong Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2424 S 90th St, West Allis, Wisconsin |
| Authorized Official Name and Position | Walter K. T. Wong (OWNER) |
| Authorized Official Contact | 4143287646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter K T Wong Md Sc 2424 S 90th St Ste. 202 West Allis WI 53227-2455 Ph: (414) 328-7646 | Walter K T Wong Md Sc 2424 S 90th St Ste. 202 West Allis WI 53227-2455 Ph: (414) 328-7646 |
| NPI Number | 1033449533 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033449533 | NPI | - | NPPES |
| 30632800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 24079 (Wisconsin) | Primary |
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