Organization
ASSOCIATED RADIOLOGISTS OF CLARKSTON PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R O'NEILL D.O. (CEO)
(248) 625-2621
Entity
Organization
Contact information
Practice address
7210 ORTONVILLE RD. STE 211, CLARKSTON, MI 48346
(248) 625-2621
Mailing address
6770 DIXIE HWY STE 200, CLARKSTON, MI 48346-2089
(248) 625-2621
(248) 922-5973
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301045208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4996896
—
MI
05
—
5187744
—
MI
Enumeration date
12/06/2006
Last updated
10/15/2007
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