Individual
JOHN C WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 W RIVER WOODS PKWY STE 230, GLENDALE, WI 53212-1010
(414) 453-7418
(414) 967-1151
Mailing address
525 W RIVER WOODS PKWY STE 230, GLENDALE, WI 53212-1010
(414) 453-7418
(414) 967-1151
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60932491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629417043
—
WA
01
—
72418
STATE OF WISCONSIN MEDICAL LICENSE
WI
Enumeration date
06/19/2013
Last updated
12/30/2022
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