Dennis Carl Oconnor, DO
Individual provider Active NPI Family Medicine Physician · Hemlock, MI
NPI 1992807184 · NPPES record last updated Nov 10, 2009
Key facts
- NPI
- 1992807184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0007552 (MI)
- Practice address
- 570 N Hemlock Rd
Pob 439
Hemlock, MI 48626-9622 - Phone
- (989) 642-8310
- Fax
- (989) 642-8429
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0007552 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0007552 | MI | Yes |
Addresses
Primary practice location
570 N Hemlock Rd
Pob 439
Hemlock, MI 48626-9622
Mailing address
PO Box 439
570 N Hemlock
Hemlock, MI 48626
Phone (989) 642-8310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2102850 | Medicaid | MI | |
| 382276455 | Other | MI | COMMERCIALS |
| 0157300015 | Other | MI | HEALTH PLUS |
Other providers in Hemlock, MI
- Jakub B Malarz
- Nicholas Jared McKenzie
- Medical Care Innovation, P.C.
- Brooke Mentel
- Dawn Miller
- Andrew Periard
- Piesko & Lennan DDS, PC
- Mary Elizabeth Pietras
- Ashley Ragan
- Alan L Reisig
All providers in Hemlock, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.