Mallory Brooke O'niel
Pediatric Otolaryngology
3901 Beaubien St Ste 2102
Detroit
, Michigan 48201-2119
Mallory Brooke O'niel
Pediatric Otolaryngology
3901 Beaubien St Ste 2102
Detroit
, Michigan 48201-2119
(313) 993-3879
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Mallory Brooke O'niel
- 3901 Beaubien St Ste 2102
- Detroit, MI
- Zip : 48201-2119
- Fax : (313) 993-3879
- Phone : (313) 745-9048
Second Address
- Mallory Brooke O'niel
- 3901 Beaubien St Ste 2102
- Detroit, MI
- Zip : 48201-2119
- Fax : (313) 993-3879
- Phone : (313) 745-9048
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Is Mallory Brooke O'niel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 4301112964 | MI |
National Provider Identifier
| NPI | 1528357506 |
|---|---|
| Provider Name | Mallory Brooke O'niel |
| First Address | Detroit, MI 48201-2119 |
| Second Address | Detroit, MI 48201-2119 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2011 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.