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Individual

DR. DOMINIC WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9301 W 74TH ST STE 230, SHAWNEE MISSION, KS 66204-2217
(816) 584-8100
Mailing address
PO BOX 871353, KANSAS CITY, MO 64187-1353
(816) 584-8100
(816) 584-8106

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-45508
KS
207N00000X
Dermatology Physician
2022012327
MO

Other

Enumeration date
05/11/2016
Last updated
09/12/2022
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