Provider Demographics
NPI:1003814385
Name:JUENG, WEI SUN (MD)
Entity Type:Individual
Prefix:DR
First Name:WEI
Middle Name:SUN
Last Name:JUENG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2914 S REPUBLIC BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1912
Mailing Address - Country:US
Mailing Address - Phone:419-531-8808
Mailing Address - Fax:419-531-9342
Practice Address - Street 1:2142 N COVE BLVD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3895
Practice Address - Country:US
Practice Address - Phone:419-471-4491
Practice Address - Fax:419-479-6905
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2023-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35068945207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0188363Medicaid
OH050064951OtherRAILROAD MEDICARE
MI104071477OtherMICHIGAN MEDICAID