Provider Demographics
NPI:1922149350
Name:WU, WEI-LUNG SAM (MD)
Entity Type:Individual
Prefix:
First Name:WEI-LUNG SAM
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAINT VINCENT PROFESSIONAL BUILDING
Mailing Address - Street 2:311 WEST 24 STREET, SUITE 402
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502
Mailing Address - Country:US
Mailing Address - Phone:814-453-6687
Mailing Address - Fax:814-456-4676
Practice Address - Street 1:SAINT VINCENT PROFESSIONAL BUILDING
Practice Address - Street 2:311 WEST 24 STREET, SUITE 402
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502
Practice Address - Country:US
Practice Address - Phone:814-453-6687
Practice Address - Fax:814-456-4676
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431481207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology