Organization Active NPI

Bonita M L Wang, D,O.,PLC

  • Obstetrics & Gynecology Physician
  • Flint, MI
National Provider Identifier
1841456613
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101011000 Issued in MI
Legal business name
BONITA M L WANG, D,O.,PLC
Practice address
1425 S Graham Rd
Flint, MI 48532-3538
Phone
(810) 732-1900
Fax
(810) 732-1925
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bonita M L Wang, D.O., PLC, D.O.
Title
Owner
Phone
(810) 732-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 5101011000 MI Primary

Addresses

Primary practice location

1425 S Graham Rd
Flint, MI 48532-3538

Mailing address

12745 S Saginaw St
Ste 806-189
Grand Blanc, MI 48439-2437
Phone (810) 732-1900

National Provider Directory

National Provider Directory

Locations

12745 S Saginaw St
Ste 806189
Grand Blanc, MI 48439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1841456613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 S SAGINAW ST",
            "address_2": "STE 806-189",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392437",
            "telephone_number": "810-732-1900",
            "fax_number": "810-732-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GRAHAM RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323538",
            "telephone_number": "810-732-1900",
            "fax_number": "810-732-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA M L WANG, D,O.,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "WANG, D.O., PLC",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "M L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-732-1900",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101011000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.