Individual
DR. JAN Q WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W GRAND RIVER AVE, SUITE 4, OKEMOS, MI 48864-2394
(517) 381-6880
(517) 381-6881
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301056301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803302102
BCBS INDIVIDUAL PIN
MI
01
—
200000001062
PHP PIN #
MI
05
—
3229836
—
MI
Enumeration date
09/13/2006
Last updated
12/31/2007
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