Individual
DR. MARY M OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5701 BOW POINTE DR STE 365, CLARKSTON, MI 48346
(248) 922-9283
(248) 922-9286
Mailing address
5701 BOW POINTE DR STE 365, CLARKSTON, MI 48346-5403
(248) 922-9283
(248) 922-9286
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5101015287
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4834181-11
—
MI
Enumeration date
08/30/2006
Last updated
07/21/2022
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