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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