Grand Fu Kwok Wong, MD

NPI #1730175340 in Edmond, Oklahoma

Provider Information

NPI Number: 1730175340
Entity Type: Individual
Name: Grand Fu Kwok Wong, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 20, 2005
Last Updated: Jul 14, 2017

Practice Location

Address: 1700 RENAISSANCE BLVD
City: Edmond
State: Oklahoma
ZIP Code: 73013-3022
Phone: (405) 844-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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