Individual
PATRICK J O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8161 33RD AVE S UNIT 1702W, BLOOMINGTON, MN 55425-4551
(952) 303-2452
Mailing address
8161 33RD AVE S UNIT 1702W, BLOOMINGTON, MN 55425-4551
(952) 303-2452
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32417
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06S62OB
BCBS PIN #
MN
05
—
118457100
—
MN
01
—
16-06215
MEDICA
MN
Enumeration date
07/13/2006
Last updated
01/06/2022
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