Doctor Name: | DR. WUU JAU PERNG |
NPI Number: | 1659369023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35-039471P |
Business Practice Address: | 2546 Center Rd Hinckley, OH - 442339561 |
Business Phone Number: | 3302254811 |
Business Fax Number: | 3302207263 |
Mailing Address: | Po Box 337, HINCKLEY |
State: | OH |
Postal Code: | 442330337 |
Phone Number: | 3302254811 |
Fax Number: | 3302207283 |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 11/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-039471P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |