Individual
JOHNNY C MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 E CANFIELD ST, 5E-UHC, DETROIT, MI 48201-1928
(313) 577-0804
Mailing address
555 BRUSH ST APT 2008, DETROIT, MI 48226-4355
(313) 377-2373
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301085941
MI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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