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NPI Code Detail

MEDICARE: DR. ASHLEY MCNEIL D.O.

MEDICARE: DR. ASHLEY MCNEIL D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1306233259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY MCNEIL D.O.
Provider Business Mailing Address
First Line : 10809 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-2119
Country : US
Telephone Number : 313-824-1000
Fax Number : 313-824-9000
Provider Business Practice Location Address
First Line : 10809 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-2119
Country : US
Telephone Number : 313-824-1000
Fax Number : 313-824-9000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2015
Last Update Date : 02/20/2017

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Directions to “ DR. ASHLEY MCNEIL D.O.” Practice Location

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