Individual
MARK N WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D69620
MD
2084N0400X
Neurology Physician
Primary
D69620
MD
2084N0400X
Neurology Physician
MD426094
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024680800
—
MD
05
—
101332966
—
PA
Enumeration date
07/18/2006
Last updated
01/05/2013
Update your record
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