Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 5101008653 | MI |
NPI | 1023090552 |
---|---|
Provider Name | Thomas J Oneil |
First Address | Novi, MI 48376-7027 |
Second Address | Warren, MI 48088-4729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 02/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
431306811 | (05) | MI |
435177511 | (05) | MI |
E72977 | (02) | |
E72977 | (02) | MI |