QI WAN

HUNTSVILLE, AL
NPI1750341400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AL  21622)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OK  20671)
Enumeration Date2006-03-26
Last Update Date2007-07-08
Business Address
-- QI WAN M.D.
333 WHITESPORT DR SW SUITE 303
HUNTSVILLE, AL 35801-6454
Phone number: 256-650-0275
Mailing Address
-- QI WAN M.D.
333 WHITESPORT DR SW SUITE 303
HUNTSVILLE, AL 35801-6454
Phone number: 256-650-0275