MEDICARE: DR. JOHN VAN WU 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
1	207R00000X	Internal Medicine Physician	37847	CO

General Provider Information

NPI Number	:	1518930395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN VAN WU M.D.

Provider Business Mailing Address
First Line	:	2789 W ALAMEDA AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-3042
Country	:	US
Telephone Number	:	303-237-6162
Fax Number	:

Provider Business Practice Location Address
First Line	:	2789 W ALAMEDA AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-3042
Country	:	US
Telephone Number	:	303-237-6162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	07/18/2008

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Directions to “ DR. JOHN VAN WU M.D.” Practice Location

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