Min Guang Wang PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10713 Issued in MT

Legal business name

MIN GUANG WANG PLLC

Practice address

2600 Wilson St
Miles City, MT 59301-5094

Phone

(360) 736-0051

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Min-Guang Wang, M.D.

Title

Owner

Phone

(360) 736-0051

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881745982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 RIVER HEIGHTS RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319025",
            "telephone_number": "360-736-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015094",
            "telephone_number": "360-736-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN GUANG WANG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MIN-GUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-736-0051",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": "10713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093857",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Miles City, MT
• Providers in Miles City, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.