Gemo Y Wong MD

NPI 1033118625 - General Practice - 208D00000X

NPI Details
NPI 1033118625
Gender Male
Enumeration Date 07/18/2005
Last Updated 09/08/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
13245 KESSLER RD
CAIRO IL, 62914-3101, US
Phone (618) 734-4400
Fax (618) 734-2884
Business Location
PO BOX 3008
CARBONDALE IL, 62902-3008, US
Phone (618) 457-0450
Fax (618) 457-7329
Toxanomy
Taxonomy Code 208D00000X
License State Illinois
License Number 036042845
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According to our database, Dr. Gemo Y Wong MD NPI is 1033118625, taxonomy code is 208D00000X and license number is 036042845, license state is located at Illinois. Gemo Y Wong MD physically located at 13245 Kessler Rd, Cairo IL, 62914-3101. NPI Number Gemo Y Wong MD has the Individual type.

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1033118625 NPI number is provided on an as is basis without warranty of any kind. 1033118625 is maintained by the National Plan & Provider Enumeration System. The contents of Gemo Y Wong MD are for informational purposes only.