Provider Demographics
NPI:1154513018
Name:ENG, WOEI YEANG GARY (MD)
Entity type:Individual
Prefix:
First Name:WOEI YEANG
Middle Name:GARY
Last Name:ENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WOEI
Other - Middle Name:YEANG
Other - Last Name:ENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2400 32ND AVE S
Mailing Address - Street 2:ALLERGY/ASTHMA CLINIC SOUTHPOINTE
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2400 32ND AVE S
Practice Address - Street 2:ALLERGY/ASTHMA CLINIC SOUTHPOINTE
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-234-2660
Practice Address - Fax:701-234-8796
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48881208000000X, 207R00000X
ND11512207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine