Individual
DR. KANAE JENNIFER NAGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
HENRY FORD HOSPITAL, 2799 W. GRAND BOULEVARD, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2644
(313) 916-3014
Mailing address
2799 W. GRAND BOULEVARD HENRY FORD HOSPITAL,, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2644
(313) 916-3014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
11/13/2018
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