Individual
DR. CHRISTOPHER MICHAEL O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15420 19 MILE RD, STE. 200, CLINTON TOWNSHIP, MI 48038-6339
(586) 649-6104
(586) 263-0250
Mailing address
15420 19 MILE RD, STE. 200, CLINTON TOWNSHIP, MI 48038-6339
(586) 649-6104
(586) 263-0250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102206803
VA
207Q00000X
Family Medicine Physician
Primary
5101014284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4412861
—
MI
05
—
4412870
—
MI
05
—
4412880
—
MI
05
—
4648909
—
MI
Enumeration date
05/06/2006
Last updated
10/17/2024
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