Mikalah Carol Jane O'neill C.N.M,

NPI 1639317910 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1639317910
Gender Female
Enumeration Date 01/26/2009
Last Updated 03/20/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4201 SAINT ANTOINE ST
SUITE 4C
DETROIT MI, 48201-2153, US
Phone (313) 745-4525
Fax (313) 745-4399
Business Location
1560 E MAPLE RD
SUITE 400-CREDENTIALING DEPARTMENT
TROY MI, 48083-1138, US
Phone (313) 745-4525
Fax (313) 745-4399
Toxanomy
Taxonomy Code 367A00000X
License State Michigan
License Number 4704196544
Remove 1639317910 NPI Number
 

According to our database, Mikalah Carol Jane O'neill C.N.M, NPI is 1639317910, taxonomy code is 367A00000X and license number is 4704196544, license state is located at Michigan. Mikalah Carol Jane O'neill C.N.M, physically located at 4201 Saint Antoine St, Detroit MI, 48201-2153. NPI Number Mikalah Carol Jane O'neill C.N.M, has the Individual type.

Sponsored links

1639317910 NPI number is provided on an as is basis without warranty of any kind. 1639317910 is maintained by the National Plan & Provider Enumeration System. The contents of Mikalah Carol Jane O'neill C.N.M, are for informational purposes only.