Richard P. Oconnor MD - Nephrology Physician in Grand Rapids, Michigan | ProviderWire

Full Name

Richard Phillip Oconnor MD

NPI Number

1457462467

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/31/2006

Specialties

(Taxonomies)

Name

Nephrology Physician

Code

207RN0300X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

RO044045

Contact
Information

Purpose

Mailing

Location

Address

PO BOX 150185

4070 LAKE DR SE

City

Grand Rapids

Grand Rapids

State

MI

MI

Postal Code

49515-0185

49546-8294

Country

US

US

Telephone Number

(616) 866-2539

(616) 774-8200

Identifiers

Identifier

3371432

044045

Identifier State

MI

MI

Identifier Issuer

Unknown

MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/26/2008

Provider Address

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Specialties: Nephrology Physician (Primary)Student in an Organized Health Care Education/Training Program