Individual
CAIO NERY GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 TITTABAWASSEE RD STE 1, SAGINAW, MI 48604-9494
(989) 980-0073
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301084203
MI
207Q00000X
Family Medicine Physician
ME97694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4975063
—
MI
05
—
4975072
—
MI
05
—
4975081
—
MI
Enumeration date
07/08/2006
Last updated
07/08/2007
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