Individual
WEN SUN LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068990A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201005070
—
IN
Enumeration date
06/24/2006
Last updated
05/01/2023
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