Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 59.000277 | OH |
Y | 213ES0103X | Foot & Ankle Surgery | 36.003604 | OH |
NPI | 1437470481 |
---|---|
Provider Name | Dr. Adrienne Marie O'neill |
First Address | Sidney, OH 45365-2404 |
Second Address | Sidney, OH 45365-2404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 26/03/2012 |