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Individual

JUN CAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5300 HARROUN RD STE 202, SYLVANIA, OH 43560-2146
(419) 824-6350
(419) 882-3847
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 824-6350
(419) 882-3847

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35082273
OH
2084P0800X
Psychiatry Physician
Primary
35082273
OH
2084P0800X
Psychiatry Physician
4301079383
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000 387014
ANTHEM
OH
05
2386743
OH
05
4841201
MI
Enumeration date
02/06/2006
Last updated
08/28/2023
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