Individual
MICHAEL JOHN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
354 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 786-5122
Mailing address
4601 PARK RD, STE 250, CHARLOTTE, NC 28209-2290
(704) 323-2237
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2020-01149
NC
Other
Enumeration date
03/26/2015
Last updated
08/10/2020
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