Provider Demographics
NPI:1659489888
Name:WU, MICHAEL JIAN (HT,HTL,QIHC(ASCP))
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JIAN
Last Name:WU
Suffix:
Gender:M
Credentials:HT,HTL,QIHC(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 EVANDALE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5310
Mailing Address - Country:US
Mailing Address - Phone:281-491-6241
Mailing Address - Fax:
Practice Address - Street 1:927 EVANDALE LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5310
Practice Address - Country:US
Practice Address - Phone:281-491-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QH0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHistology