Individual
DR. BRIAN JAMES O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, EC, ROYAL OAK, MI 48073-6712
(248) 898-1031
Mailing address
4201 ST. ANTOINE, SUITE 3, DETROIT, MI 48201
(313) 745-3030
(313) 745-3653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301407181
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010F362410
BCBSM
MI
05
—
4423103
—
MI
Enumeration date
03/29/2006
Last updated
07/27/2009
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