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Organization

NANCY J CAO MD PHD PLLC

Active
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Organization

NANCY J CAO MD PHD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY J CAO MD, PHD (OWNER)
(248) 223-5990
Entity
Organization

Contact information

Practice address
25865 W 12 MILE RD, SUITE 110, SOUTHFIELD, MI 48034-1817
(248) 223-5990
(248) 223-5993
Mailing address
25865 W 12 MILE RD, SUITE 110, SOUTHFIELD, MI 48034-1817
(248) 223-5990
(248) 223-5993

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301076405
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306360251
BLUE CARE NETWORK
MI
Enumeration date
05/24/2007
Last updated
04/20/2008
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