Wang, Zhiqiang Brad
Wang, Zhiqiang Brad is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2689. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Wang, Zhiqiang Brad can be contacted via phone (313) 916-2738.Contact Information
Primary practice address
2799 W Grand Blvd
Detroit MI 48202-2689
Phone: (313) 916-2738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | ME107392 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | BP10023529 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301112003 | Michigan |
Profile Details
| NPI number | 1275788705 |
|---|---|
| LBN Legal business name | Wang, Zhiqiang Brad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2008 |
| Last updated | Nov 8th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275788705 | NPPES |
| Florida | MEDICAID | 0023836-00 | |
| Florida | MEDICAID | 102125880A |
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