| Doctor Name: | SOU-PAN WU |
| NPI Number: | 1114993961 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 42668 |
| Business Practice Address: | 401 Phalen Blvd Mail Stop 41103e St Paul, MN - 551015302 |
| Business Phone Number: | 6512547800 |
| Business Fax Number: | 6512547806 |
| Mailing Address: | 401 Phalen Blvd, 41103a SAINT PAUL |
| State: | MN |
| Postal Code: | 551305302 |
| Phone Number: | 6512547800 |
| Fax Number: | 6512547806 |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | 42668 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |