Individual
MR. JOHN CHARLES SANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 283-9529
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704312226
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704312226
MI
Other
Enumeration date
10/09/2020
Last updated
03/04/2021
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