Individual
THOMAS VINCENT O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109
(734) 764-6831
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704114089
MI
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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