Organization
J C CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN CAO M.D. (PRESIDENT)
(734) 794-0112
Entity
Organization
Contact information
Practice address
2035 HOGBACK RD, SUITE 209, ANN ARBOR, MI 48105-9732
(734) 794-0112
(734) 794-0112
Mailing address
2035 HOGBACK RD, SUITE 209, ANN ARBOR, MI 48105-9732
(734) 794-0112
(734) 794-0112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301079383
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136855
CARE CHOICES
—
05
—
4505719
—
MI
01
—
H79731
HAP HMO
—
Enumeration date
04/20/2006
Last updated
08/22/2020
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