Individual
ALAN WESLEY SUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2060 4TH ST, UNIT 140, BERKELEY, CA 94710-1955
(510) 332-2882
(510) 332-2882
Mailing address
2060 4TH ST, UNIT 140, BERKELEY, CA 94710-1955
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E-5052
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL1790
CA
Other
Enumeration date
05/11/2010
Last updated
04/20/2013
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