Granger B Wong M D Inc in Roseville - Plastic Surgery
Granger B Wong M D Inc - NPI 1609922962
Granger B Wong M D Inc is a Plastic Surgery in Roseville, California. Granger B Wong M D Inc practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Granger B Wong M D Inc is 1609922962. The last update date is 2015-07-01.
Granger B Wong M D Inc's current location address is 576 N Sunrise Ave, Roseville, California. You can contact this provider via phone number 9167917088 and fax number 9167916606. The mailing address for Granger B Wong M D Inc is 576 N Sunrise Ave, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granger B Wong M D Inc |
|---|---|
| Address | 576 N Sunrise Ave, Roseville, California |
| Phone Number | 9167917088 |
| Fax Number | 9167916606 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wong Granger |
| Credentials | MD |
| Telephone Number | 9167917088 |
NPI Number Detail
| NPI Number | 1609922962 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2015-07-01 |
Provider Mailing Address Detail
| Address | 576 N Sunrise Ave |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956612841 |
| Phone Number | 9167917088 |
| Fax Number | 9167916606 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | A54333 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Granger B Wong M D Inc by the Centers for Medicare & Medicaid Services?
The Granger B Wong M D Inc has been assigned the NPI (National Provider Identifier) 1609922962 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Granger B Wong M D Inc?
The Granger B Wong M D Inc is physically situated at 576 N Sunrise Ave, in the city of Roseville, state of CA, with the postal code 956612841.
What is Granger B Wong M D Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Granger B Wong M D Inc is Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 208200000X.
On what date did Granger B Wong M D Inc receive its 1609922962 assignment from the Centers for Medicare & Medicaid Services?
The Granger B Wong M D Inc was assigned its 1609922962 on 2007-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Granger B Wong M D Inc most recently updated or revised?
The details related to Granger B Wong M D Inc, including its address, specialty, and other relevant information, were last updated or revised on 2015-07-01.
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