Organization
DONNA M O'NEILL M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY L JOHNSON RN (OFFICE MANAGER)
(517) 788-4781
Entity
Organization
Contact information
Practice address
1100 E MICHIGAN AVE, SUITE 305, JACKSON, MI 49201-1847
(517) 788-4781
(517) 788-4799
Mailing address
1100 E MICHIGAN AVE, SUITE 305, JACKSON, MI 49201-1847
(517) 788-4781
(517) 788-4799
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2992806
—
MI
Enumeration date
05/08/2007
Last updated
08/22/2020
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