Organization
CLYDE WU, M.D.
Active
Organization
CLYDE WU, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY CAUCHON (BILLING MANAGER)
(313) 506-6835
Entity
Organization
Contact information
Practice address
1275 AUDUBON RD, GROSSE POINTE PARK, MI 48230-1151
(313) 506-6835
Mailing address
1275 AUDUBON RD, GROSSE POINTE PARK, MI 48230-1151
(313) 506-6835
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CW025720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060067730
RRMC
—
05
—
104389010
—
MI
01
—
1108296182
BCBSM
—
Enumeration date
04/10/2012
Last updated
04/10/2012
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