Individual provider · Type 1 NPI

Michael Su, MD

Student in an Organized Health Care Education/Training Program · Williamsport, PA

NPI number 1639707326 Active

Practice location

10 Wisteria Ln
Williamsport, PA 17701-4188

Call (215) 620-8523 Map

Mailing address

175 Pine St Ste 200
Williamsport, PA 17701-6549

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639707326

Michael Su, MD's National Provider Identifier is 1639707326, issued on Mar 30, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Williamsport, PA. The record was last updated on Sep 16, 2026.