Individual
DR. BRIAN P. O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301501453
MI
207RC0000X
Cardiovascular Disease Physician
MD449396
PA
207RI0011X
Interventional Cardiology Physician
4301501453
MI
207RI0011X
Interventional Cardiology Physician
MD449396
PA
Other
Enumeration date
05/22/2007
Last updated
10/18/2023
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