Ma, Weiguang

Ma, Weiguang is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ma, Weiguang can be contacted via phone (715) 387-5385.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5464 Wisconsin
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 5464 Wisconsin

Profile Details

NPI number 1083714737
LBN Legal business name Ma, Weiguang
Credentials DDS MDS PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083714737 NPPES
Wisconsin MEDICAID 33772800

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