John M O'Brien in Ann Arbor - Adolescent Medicine

John M O'Brien - NPI 1639268584

John M O'Brien is a Adolescent Medicine in Ann Arbor, Michigan. John M O'Brien practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for John M O'Brien is 1639268584. The last update date is 2012-03-27.

John M O'Brien's current location address is 3621 S State St, Ann Arbor, Michigan. You can contact this provider via phone number 7349362047. The mailing address for John M O'Brien is 3621 S State St, Ann Arbor, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John M O'Brien
Address 3621 S State St, Ann Arbor, Michigan
Phone Number 7349362047
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639268584
Provider Enumeration Date 2006-10-11
Last Updated Date 2012-03-27

Provider Mailing Address Detail

Address 3621 S State St
City Ann Arbor
State Michigan (MI)
Post Code 48108
Phone Number 7349362047
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Qa0000X
Licence No 4301043586
Definition:
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1396951 MI --

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FAQs about John M O'Brien

What is the unique 10-digit identification code assigned to John M O'Brien by the Centers for Medicare & Medicaid Services?

The John M O'Brien has been issued the NPI (National Provider Identifier) 1639268584, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John M O'Brien's physical address?

The John M O'Brien is physically located at 3621 S State St, in the city of Ann Arbor, MI, with the postal code 48108.

What is John M O'Brien's specialized field of practice, and what is the corresponding taxonomy classification code?

The John M O'Brien's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0000X.

On what date did the John M O'Brien receive the assignment of its 1639268584 from the Centers for Medicare & Medicaid Services?

The John M O'Brien was issued its 1639268584 by the Centers for Medicare & Medicaid Services on 2006-10-11.

As of what date were the details related to John M O'Brien most recently updated or revised?

The information pertaining to John M O'Brien, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-27.

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