MEDICARE: KUAN-TING WU

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	1041C0700X	Clinical Social Worker	6851117849	MI

General Provider Information

NPI Number	:	1932950961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KUAN-TING WU

Provider Business Mailing Address
First Line	:	326 S STATE ST STE 210
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-2412
Country	:	US
Telephone Number	:	517-245-0725
Fax Number	:	517-273-2771

Provider Business Practice Location Address
First Line	:	326 S STATE ST STE 210
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-2412
Country	:	US
Telephone Number	:	517-245-0725
Fax Number	:	517-273-2771

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

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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Directions to “ KUAN-TING WU ” Practice Location

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