Individual
MIKALAH CAROL JANE O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M,
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 4C, DETROIT, MI 48201-2153
(313) 745-4525
(313) 745-4399
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING DEPARTMENT, TROY, MI 48083-1138
(313) 745-4525
(313) 745-4399
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704196544
MI
Other
Enumeration date
01/26/2009
Last updated
03/20/2015
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