Individual
JUSTINE PEEN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20321 FARMINGTON ROAD, LIVONIA, MI 48152
(248) 473-4300
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA07613000
NJ
207Q00000X
Family Medicine Physician
Primary
4301076163
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127353
—
NJ
01
—
P00953358
RR MCR PTAN
NJ
Enumeration date
08/31/2006
Last updated
05/08/2015
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