Basic Information
Provider Information
NPI: 1053529511
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WU
FirstName: STEVE
MiddleName: WEI
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 BURNET AVE
Address2: ML 2015
City: CINCINNATI
State: OH
PostalCode: 45229
CountryCode: US
TelephoneNumber: 5136364222
FaxNumber: 5136361888
Practice Location
Address1: 3333 BURNET AVE
Address2: ML 2015
City: CINCINNATI
State: OH
PostalCode: 45229
CountryCode: US
TelephoneNumber: 5136364222
FaxNumber: 5136363980
Other Information
ProviderEnumerationDate: 05/18/2007
LastUpdateDate: 12/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0402X35.091876OHY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology

No ID Information.


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