Individual provider · NPI-1

Tara Eileen O'Neill, LM, CPM

Midwife · Farmington Hills, MI

NPI number1104474915
StatusActive
Last updated in NPPESNov 26, 2024

Details

NPI
1104474915
Entity type
Individual (NPI-1)
Name
Tara Eileen O'Neill
Credential
LM, CPM
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2019
Certification date
Nov 26, 2024
Last updated
Nov 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176B00000X Midwife7601000071MIYes

Practice location

38215 W 10 Mile Rd Ste 6
Farmington Hills, MI 48335-2866

Phone 313-351-5331 · Fax 313-751-8101

Mailing address

38215 W 10 Mile Rd Ste 6
Farmington Hills, MI 48335-2866

Phone 313-351-5331

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