Individual
KEVIN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 971-3337
(617) 971-3852
Mailing address
29201 TELEGRAPH RD, STE 324, SOUTHFIELD, MI 48034-7646
(714) 227-6246
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301506292
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
04/06/2018
Last updated
02/28/2025
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