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NPI Code Detail

MEDICARE: WENHUI SUN D.M.D.

MEDICARE: WENHUI SUN D.M.D.
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH
21223G0001XGeneral Practice Dentistry1001740-15WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437569456
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENHUI SUN D.M.D.
Provider Business Mailing Address
First Line : 2606 STEWART AVE STE 102
Second Line :
City : WAUSAU
State : WI
Zip : 54401-5450
Country : US
Telephone Number : 715-842-5691
Fax Number :
Provider Business Practice Location Address
First Line : 75 ARCH ST STE 303
Second Line :
City : AKRON
State : OH
Zip : 44304-1432
Country : US
Telephone Number : 330-375-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2014
Last Update Date : 01/16/2024

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