Individual provider · Type 1 NPI

Channing Coreane Oday, PAC

Surgical Physician Assistant · West Bloomfield, MI

NPI number 1194762161 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Call (248) 325-1000 Map

Mailing address

5241 Doherty Dr
West Bloomfield, MI 48323-3413

Other practice locations

  • 29992 Northwestern Hwy, Farmington Hills, MI 48334-3292 · (248) 735-8272
  • 22101 Moross Rd, Detroit, MI 48236-2148 · (313) 343-4000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1194762161

Channing Coreane Oday, PAC's National Provider Identifier is 1194762161, issued on May 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Bloomfield, MI. The record was last updated on Mar 4, 2026.