Organization Name: | WUU JAU PERNG, M.D. |
NPI Number: | 1083895437 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WUU JAU PERNG (OWNER) |
Mailing Address: | 2546 Center Rd Hinckley |
State: | OH US |
Postal Code: | 442339561 |
Phone Number: | 3302254811 |
Fax Number: | 3302207283 |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 11/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |