ALVIN GIBSON WONG

INDIANAPOLIS, IN
NPI1235588229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11018732A)
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
-- ALVIN GIBSON WONG M.D.
1120 W MICHIGAN ST # CL626
INDIANAPOLIS, IN 46202-5209
Phone number: 317-278-2686
Mailing Address
-- ALVIN GIBSON WONG M.D.
1120 W MICHIGAN ST # CL626
INDIANAPOLIS, IN 46202-5209
Phone number: 317-278-2686
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