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Individual

WEI SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
43900 GARFIELD RD STE 100, CLINTON TOWNSHIP, MI 48038-1137
(586) 286-0982
Mailing address
43900 GARFIELD RD STE 100, CLINTON TOWNSHIP, MI 48038-1137
(586) 286-0982

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
4301104187
MI
207ZC0006X
Clinical Pathology Physician
4301104187
MI
207ZD0900X
Dermatopathology (Pathology) Physician
4301104187
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000351900
FL
05
686173000
MN
Enumeration date
10/24/2006
Last updated
03/07/2014
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