Su, Wei

Su, Wei is an individual health care provider with primary practice located at 43900 Garfield Rd Ste 100 , Clinton Township MI 48038-1137. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Su, Wei can be contacted via phone (586) 286-0982.

Contact Information

Primary practice address
43900 Garfield Rd Ste 100 Clinton Township MI 48038-1137
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 4301104187 Michigan
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 4301104187 Michigan
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 4301104187 Michigan

Profile Details

NPI number 1962585596
LBN Legal business name Su, Wei
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962585596 NPPES
Florida MEDICAID 000351900
Florida MEDICAID 686173000

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