Individual
ALFONSO V O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25631 LITTLE MACK AVE STE 202, SAINT CLAIR SHORES, MI 48081-2108
(586) 588-9813
(586) 588-9814
Mailing address
25631 LITTLE MACK AVE STE 202, SAINT CLAIR SHORES, MI 48081-2108
(586) 588-9813
(586) 588-9814
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
AO043730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193361310
—
MI
Enumeration date
05/25/2006
Last updated
07/12/2019
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