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Individual

DR. O'NEIL MICHEL BISCETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-1668
(517) 337-1779
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301092090
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301092090
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200000018093
PHPMM
MI
01
4301092090
STATE LICENSE
MI
01
P00755322
RAILROAD MEDICARE
MI
Enumeration date
01/19/2007
Last updated
08/16/2023
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