| Doctor Name: | SANDRA OLIVER-MCNEIL |
| NPI Number: | 1033277132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 4704145582 |
| Business Practice Address: | 6450 Farmington Rd Ste 200 West Bloomfield, MI - 483224457 |
| Business Phone Number: | 2487884278 |
| Business Fax Number: | 2487882001 |
| Mailing Address: | 6450 Farmington Rd Ste 200, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483224457 |
| Phone Number: | 2487884278 |
| Fax Number: | 2487882001 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 4704145582 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |