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1447244363
PENG NAN WANG
ALTON, IL
NPI
1447244363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL 036-052044)
Enumeration Date
2005-09-07
Last Update Date
2011-04-21
Business Address
Dr. PENG NAN WANG MD
2 MEMORIAL DR STE 103
ALTON, IL 62002-6723
Phone number: 618-259-5096
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Mailing Address
Dr. PENG NAN WANG MD
130 GREENTRAILS DR N
CHESTERFIELD, MO 63017-2552
Phone number: 314-469-1302
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