Individual
CECILIA MEG O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19020 FORT ST, RIVERVIEW, MI 48193-6701
(734) 362-5100
Mailing address
19020 FORT ST, RIVERVIEW, MI 48193-6701
(734) 362-5100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704197938
MI
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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