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Individual

BRIAN SENRI NAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR TAUBMAN CENTER RECP MOS, ANN ARBOR, MI 48109-5317
(734) 232-2867
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301048434
MI
207R00000X
Internal Medicine Physician
Primary
4301048434
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104144985
MI
01
930100920
RR MEDICARE
MI
Enumeration date
06/06/2006
Last updated
03/26/2012
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