Individual
JOAO PAULO FONTANA BRAGAGNOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6071 W OUTER DRIVE-SINAI GRACE HOSPITAL, DEPARTMENT OF MEDICINE 4TH FLOOR M-406, DETROIT, MI 48235
(313) 966-1728
Mailing address
6071 W OUTER DRIVE-SINAI GRACE HOSPITAL, DEPARTMENT OF MEDICINE 4TH FLOOR M-406, DETROIT, MI 48235
(313) 966-1728
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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