Healthcare Provider Details

I. General information

NPI: 1285551424
Provider Name (Legal Business Name): MEAGHAN ALEXANDRA OSBORNE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W. 13 MILE RD
ROYAL OAK MI
48073
US

IV. Provider business mailing address

3601 W. 13 MILE RD
ROYAL OAK MI
48073
US

V. Phone/Fax

Practice location:
  • Phone: 248-551-6515
  • Fax: 248-551-9426
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4351056359
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: