Provider Demographics
NPI:1306233259
Name:MCNEIL, ASHLEY (DO)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10809 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-2119
Mailing Address - Country:US
Mailing Address - Phone:313-824-1000
Mailing Address - Fax:313-824-9000
Practice Address - Street 1:10809 MACK AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-2119
Practice Address - Country:US
Practice Address - Phone:313-824-1000
Practice Address - Fax:313-824-9000
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-17
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program