Individual
ELISE O'NEAL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 998-2020
Mailing address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 763-8122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351052181
MI
Other
Enumeration date
05/06/2024
Last updated
07/01/2025
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