Individual
DR. SHAUN ERIN O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1771 HIGHGROVE DR SE, ADA, MI 49301-9287
(248) 343-9358
Mailing address
1771 HIGHGROVE DR SE, ADA, MI 49301-9287
(248) 343-9358
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301111173
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2011
Last updated
01/24/2020
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