Individual
BRIAN E. O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 W DALE ST, WATERLOO, IA 50703-1925
(319) 235-5060
(319) 235-5061
Mailing address
152 W DALE ST, WATERLOO, IA 50703-1925
(319) 235-5060
(319) 235-5061
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-066709
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066709
—
IL
Enumeration date
08/13/2006
Last updated
03/24/2016
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