Individual
DARREN P O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01058893
IN
2085N0700X
Neuroradiology Physician
66540
WI
2085R0202X
Diagnostic Radiology Physician
01058893
IN
2085R0202X
Diagnostic Radiology Physician
Primary
66540
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000529667
ANTHEM BCBS
IN
05
—
1982781373
—
WI
05
—
200843000
—
IN
01
—
P00452690
RAILROAD MEDICARE
IN
01
—
P00742734
RAILROAD MEDICARE
IN
Enumeration date
11/01/2006
Last updated
01/17/2017
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