Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 002538 | IA |
N | 152W00000X | Optometrist | 046010389 | IL |
Y | 152W00000X | Optometrist | 4901005011 | MI |
NPI | 1003128877 |
---|---|
Provider Name | Dr. Erin Marie Wu |
First Address | Dallas, TX 75320-8177 |
Second Address | Pontiac, MI 48341-1166 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2010 |
Last Update Date | 01/02/2022 |