Provider Demographics
NPI:1659442184
Name:OCONNOR, JAMES A (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:OCONNOR
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Gender:M
Credentials:DO
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Mailing Address - Street 1:315 E EISENHOWER PKWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-3350
Mailing Address - Country:US
Mailing Address - Phone:734-222-8200
Mailing Address - Fax:734-222-8202
Practice Address - Street 1:315 E EISENHOWER PKWY
Practice Address - Street 2:SUITE 7
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3350
Practice Address - Country:US
Practice Address - Phone:734-222-8200
Practice Address - Fax:734-222-8202
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2012-12-17
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Provider Licenses
StateLicense IDTaxonomies
MI5101005756207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11-2905678Medicaid
MION20960Medicare ID - Type Unspecified
MIE26140Medicare UPIN