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Contact Information

JEFF F WANG, MD
1205 WILDHORSE MEADOWS DR
CHESTERFIELD, MO63005-1350
 Phone: 402-598-2672
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JEFF F WANG · (Male)

NPI Number 1063634673
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2007
Last updated 08/29/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011012563
Hospital affiliation(s)
  • ABRAHAM LINCOLN MEMORIAL HOSPITAL - (Critical Access)
    200 STAHLHUT DRIVE
    LINCOLN, IL 62656
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • PASSAVANT AREA HOSPITAL - (Acute Care)
    1600 W WALNUT ST
    JACKSONVILLE, IL 62650
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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