Whalio Doctors

NPI 1467606590

Shannon L. Wong, MD

Practitioner Plastic Surgery Physician Omaha, NE

Practice location

Address
Emile 42nd St, Omaha, NE 68198-0001
Phone
(402) 559-8363
Fax
(402) 559-9513
Mailing address
988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

Registered specialties (2)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 29358 (NE)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 53627 (WI)

Registry record

NPI
1467606590
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Nov 2008
Record last updated
2 Aug 2016

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.