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Individual

DR. MIN SHENG WU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-1218
(903) 408-1219
Mailing address
7244 BROOKSHIRE DR, DALLAS, TX 75230-4206
(214) 750-0569

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35457
MO
207L00000X
Anesthesiology Physician
A29671
CA
207L00000X
Anesthesiology Physician
Primary
E5290
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0069BA
BLUE CHOICE SOULTION PROV
TX
01
2150533008PALID
CIGNA ID
05
P000AL071
TX
Enumeration date
08/04/2006
Last updated
07/08/2007
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