Individual
DR. EDWARD NAZARENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13650 FORT ST, SOUTHGATE, MI 48195-1152
(734) 281-2150
(734) 281-9142
Mailing address
13650 FORT ST, SOUTHGATE, MI 48195-1152
(734) 281-2150
(734) 281-9142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301067719
MI
Other
Enumeration date
11/14/2006
Last updated
01/30/2008
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