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1124013404
WALTER KHE TIAN WONG
WEST ALLIS, WI
NPI
1124013404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: WI 24079)
Enumeration Date
2005-09-13
Last Update Date
2009-09-15
Business Address
Dr. WALTER KHE TIAN WONG MD
2424 S 90TH ST SUITE 202
WEST ALLIS, WI 53227-2455
Phone number: 414-328-7646
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Mailing Address
Dr. WALTER KHE TIAN WONG MD
2424 S 90TH ST SUITE 202
WEST ALLIS, WI 53227-2455
Phone number: 414-328-7646
Copy
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