Wong, Michael

Wong, Michael is an individual health care provider with primary practice located at 1 Childrens Pl Div Neurology Pediatrics, Saint Louis MO 63110-1002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Wong, Michael can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
1 Childrens Pl Div Neurology Pediatrics Saint Louis MO 63110-1002
Phone: (314) 362-1408
Fax: (314) 454-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 111200 Missouri
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 111200 Missouri
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 111200 Missouri

Profile Details

NPI number 1053338590
LBN Legal business name Wong, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about last year

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 1053338590 NPPES
Missouri MEDICAID 205453202

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