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Individual
GEORGE THOMAS O'BRYAN
Active
Individual
GEORGE THOMAS O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36653
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016006
PREFERRED ONE
MN
01
—
3107053
PHP
MN
01
—
3180156
MEDICA PRIMARY
MN
01
—
32463400
WISCONSIN MA
WI
01
—
41Q33OB
BCBS
MN
05
—
87401600
—
MN
01
—
HP25085
HEALTHPARTNERS
MN
Enumeration date
08/19/2006
Last updated
12/03/2007
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