DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOU-PAN WU MD

MEDICARE: SOU-PAN WU MD
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
1207RR0500XRheumatology Physician42668WI
2207RR0500XRheumatology Physician48087MN

General Provider Information

NPI Number : 1114993961
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOU-PAN WU MD
Provider Business Mailing Address
First Line : 4200 DAHLBERG DR STE 300
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4841
Country : US
Telephone Number : 952-512-5600
Fax Number :
Provider Business Practice Location Address
First Line : 4040 RADIO DR
Second Line :
City : WOODBURY
State : MN
Zip : 55129-3237
Country : US
Telephone Number : 651-439-8807
Fax Number : 651-439-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/03/2023

Similar Medicare Providers

1063413250 — MR. DANIEL PAUL SPIELMAN APRN, CNP
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1760455208 — ELLEN R SHAMMASH MD
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1013986611 — JENNIFER SUSAN ELLIS PA-C
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1659387637 — DANA LYNN KAUFMAN PAC
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1114015997 — MARYANN S JOHNSON PT
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax:
1891994067 — DR. SHARON LYNN FRATTALONE D.O.
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232

Directions to “ SOU-PAN WU MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.