IndividualActive
Alex Wang, MD
NPI 1841815883 · Sports Medicine (Family Medicine) Physician · Renton, WA
Provider details
- NPI number
- 1841815883
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61519863 (WA)
Practice location
14410 Se Petrovitsky Rd Ste 104
Renton, WA 98058-8900
Phone: (425) 690-3405
Mailing address
14410 Se Petrovitsky Rd Ste 104
Renton, WA 98058-8900
Registry dates
- Enumerated
- 2020-06-16
- Last updated
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.