| Doctor Name: | JENNY WANG-PETERMAN |
| NPI Number: | 1891926861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 35.123441 |
| Business Practice Address: | 11100 Euclid Ave University Hospitals Case Medical Ctr Cleveland, OH - 441061716 |
| Business Phone Number: | 2168443113 |
| Business Fax Number: | |
| Mailing Address: | 20800 Harvard Rd, 2nd Floor HIGHLAND HILLS |
| State: | OH |
| Postal Code: | 441227249 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2009 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35.123441 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |