Michael Wan, M.d., F.a.c.o.g.
NPI #1982651485 in Fountain Valley, California
Provider Information
- NPI Number
- 1982651485
- Entity Type
- Organization
- Organization Name
- Michael Wan, M.d., F.a.c.o.g.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- May 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11100 WARNER AVE
- Address 2
- 150B
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-7506
- Phone
- (714) 546-6600
Authorized Official
- Name
- DR. MICHAEL WAN, M.D.
- Title
- OBSTETRICS AND GYNECOLOGY
- Phone
- (714) 546-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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