Healthcare Provider Details

I. General information

NPI: 1407627078
Provider Name (Legal Business Name): YUHAO WU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2024
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 HOSPITAL DRIVE
SASKATOON SASKATCHEWAN
S7W 1B4
CA

IV. Provider business mailing address

330 STENSRUD ROAD
SASKATOON SASKATCHEWAN
S7W 1B4
CA

V. Phone/Fax

Practice location:
  • Phone: 306-341-6500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number112640
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: