Individual
JIXIAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038
(586) 263-2300
Mailing address
PO BOX 381065, CLINTON TWP, MI 48038-0076
(586) 399-1157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067781
MI
207R00000X
Internal Medicine Physician
A81081
CA
208M00000X
Hospitalist Physician
4301067781
MI
208M00000X
Hospitalist Physician
A81081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4846647
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
01
—
JW067781
BCBSM
MI
Enumeration date
09/07/2005
Last updated
11/12/2018
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