Individual
JERRY TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109
(651) 232-7000
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8772
(717) 231-8435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT206214
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103292841
—
PA
Enumeration date
05/07/2014
Last updated
05/09/2019
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