Individual
LEONARD T ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 S BURDICK ST, KALAMAZOO, MI 49007-5294
(269) 341-8822
(269) 341-7518
Mailing address
535 S BURDICK ST, KALAMAZOO, MI 49007-5294
(269) 341-8822
(269) 341-7518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301046136
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215907787
—
MI
01
—
1417961137
BCBSM - BMH
MI
05
—
3244331
—
MI
01
—
CA4396
RAILROAD MEDICARE
MI
Enumeration date
01/25/2006
Last updated
10/16/2014
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