Provider Demographics
NPI:1700861499
Name:ONICIU, ANNA MARIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA MARIA
Middle Name:J
Last Name:ONICIU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:32100 TELEGRAPH RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025
Mailing Address - Country:US
Mailing Address - Phone:248-644-1221
Mailing Address - Fax:248-644-2748
Practice Address - Street 1:32100 TELEGRAPH RD
Practice Address - Street 2:SUITE 110
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025
Practice Address - Country:US
Practice Address - Phone:248-644-1221
Practice Address - Fax:248-644-2748
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301053780208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F51440Medicare UPIN