Individual
DR. CHARLIE W WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
237 RADIO DR STE 100, WOODBURY, MN 55125-4478
(651) 275-3000
(651) 275-3027
Mailing address
1719 TOWER DR W STE 100, STILLWATER, MN 55082-7512
(651) 275-3000
(651) 275-3027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49638
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49638
MEDICAL LICENSE
MN
01
—
50506
WI MEDICAL LICENSE
WI
05
—
973445000
—
MN
01
—
P00419825
RAILROAD MEDICARE
MN
Enumeration date
05/21/2007
Last updated
05/13/2020
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