Individual
DR. PHILIP MICHAEL O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5059
Mailing address
1000 JOANNE CT, BLOOMFIELD, MI 48302-2417
(248) 760-0522
(248) 282-5137
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301407335
MI
207Q00000X
Family Medicine Physician
4301407335
MI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
4301407335
MI
2083X0100X
Occupational Medicine Physician
Primary
4301407335
MI
Other
Enumeration date
10/02/2006
Last updated
09/11/2025
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