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NPI Code Detail

MEDICARE: JIEJUN WU

MEDICARE: JIEJUN WU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology Physician35.155793OH
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD0103948MD

General Provider Information

NPI Number : 1790312023
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIEJUN WU
Provider Business Mailing Address
First Line : 3200 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3019
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3188 BELLEVUE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2369
Country : US
Telephone Number : 513-584-7284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 06/12/2026

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Directions to “ JIEJUN WU ” Practice Location

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