Xiaoming Shawn Wan M.D.

NPI 1760435994 - Family Medicine - 207Q00000X

NPI Details
NPI 1760435994
Gender Male
Enumeration Date 05/18/2006
Last Updated 11/03/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
3201 66TH ST N
ST PETERSBURG FL, 33710-1510, US
Phone (727) 527-7035
Fax (727) 533-5993
Business Location
PO BOX 1830
CLEARWATER FL, 33757-1830, US
Phone (727) 532-1355
Fax (727) 266-4928
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME87645
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According to our database, Dr. Xiaoming Shawn Wan M.D. NPI is 1760435994, taxonomy code is 207Q00000X and license number is ME87645, license state is located at Florida. Xiaoming Shawn Wan M.D. physically located at 3201 66th St N, St Petersburg FL, 33710-1510. NPI Number Xiaoming Shawn Wan M.D. has the Individual type.

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1760435994 NPI number is provided on an as is basis without warranty of any kind. 1760435994 is maintained by the National Plan & Provider Enumeration System. The contents of Xiaoming Shawn Wan M.D. are for informational purposes only.