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NPI Code Detail

MEDICARE: DR. MICHAEL WEI-CHIH SU MD, PHD

MEDICARE:  DR. MICHAEL WEI-CHIH SU  MD, PHD
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
1207N00000XDermatology PhysicianA95938CA

General Provider Information

NPI Number : 1285656447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WEI-CHIH SU MD, PHD
Provider Business Mailing Address
First Line : 2345 FAIR OAKS BLVD
Second Line : DEPARTMENT OF DERMATOLOGY
City : SACRAMENTO
State : CA
Zip : 95825-4708
Country : US
Telephone Number : 916-631-3010
Fax Number :
Provider Business Practice Location Address
First Line : 2345 FAIR OAKS BLVD
Second Line : DEPARTMENT OF DERMATOLOGY
City : SACRAMENTO
State : CA
Zip : 95825-4708
Country : US
Telephone Number : 916-631-3010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 12/22/2021

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Directions to “ DR. MICHAEL WEI-CHIH SU MD, PHD” Practice Location

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