NPI 1053897892

Bo Wang, MDPHD

Practitioner Dermatology Physician Aberdeen, SD

Practice location

Address: 105 S State St STE 202, Aberdeen, SD 57401-4501
Phone: (605) 622-8960
Fax: (605) 622-8961
Mailing address: 3621 S State St, Ann Arbor, MI 48108-1633

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 14265 (SD)

Other Dermatology providers in South Dakota →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301507145 (MI)

Registry record

NPI: 1053897892
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2018
Record last updated: 22 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.