Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0122X | Plastic and Reconstructive Surgery | 036121008 | IL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD443720 | PA |
NPI | 1235343989 |
---|---|
Provider Name | Dr. Dawn Jennifer Geisler Wang |
First Address | Pittsburgh, PA 15203-2348 |
Second Address | Pittsburgh, PA 15237-5956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 04/01/2017 |