Individual
MARCIA R O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5261
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5261
(586) 573-5364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704107107
MI
Other
Enumeration date
08/22/2006
Last updated
10/20/2009
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