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Individual

YAN YUN WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1611 NW 12TH AVE DEPT OF, MIAMI, FL 33136-1005
(305) 243-2867
(203) 688-7340
Mailing address
1611 NW 12TH AVE DEPT OF, MIAMI, FL 33136-1005
(305) 243-2867
(203) 688-7340

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
040678
CT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
040678
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001406786
CT
Enumeration date
11/16/2005
Last updated
06/10/2022
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