Provider Demographics
NPI:1881723625
Name:WU, STEPHEN CHANG (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:CHANG
Last Name:WU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1309 EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-1705
Mailing Address - Country:US
Mailing Address - Phone:415-967-1880
Mailing Address - Fax:415-206-7630
Practice Address - Street 1:1309 EVANS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-1705
Practice Address - Country:US
Practice Address - Phone:415-967-1880
Practice Address - Fax:415-206-7630
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2012-08-10
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Provider Licenses
StateLicense IDTaxonomies
CAA869212084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry