Individual
CHARLES C WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 S VAN DYKE, BAD AXE, MI 48413-9614
(989) 269-9681
(989) 269-9831
Mailing address
PO BOX 327, 1011 S VAN DYKE, BAD AXE, MI 48413-9614
(989) 269-9681
(989) 269-9831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301036780
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483583
—
MI
Enumeration date
08/16/2006
Last updated
07/08/2007
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