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NPI Code Detail

MEDICARE: MICHELE LEE ONEILL MD

MEDICARE: MICHELE LEE ONEILL MD
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
1207Q00000XFamily Medicine PhysicianA74294CA

General Provider Information

NPI Number : 1811997588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE LEE ONEILL MD
Provider Business Mailing Address
First Line : 11815 EDUCATION ST
Second Line :
City : AUBURN
State : CA
Zip : 95602-2410
Country : US
Telephone Number : 530-888-4500
Fax Number : 530-889-6035
Provider Business Practice Location Address
First Line : 11815 EDUCATION ST
Second Line :
City : AUBURN
State : CA
Zip : 95602-2410
Country : US
Telephone Number : 530-888-4500
Fax Number : 530-889-6035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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