Individual
ROBERT WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE STREET SE, PHILLIPS-WANGENSTEEN BUILDING 11-145E, MMC195, MINNEAPOLIS, MN 55455
(612) 301-9433
Mailing address
420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455
(612) 301-9433
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HD338393
PASSPORT
—
Enumeration date
04/18/2017
Last updated
04/18/2017
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