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Organization

OBRIEN CHIROPRACTIC CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW PATRICK OBRIEN D.C. (PRESIDENT)
(586) 752-1515
Entity
Organization

Contact information

Practice address
143 W SAINT CLAIR ST, ROMEO, MI 48065-4657
(586) 752-1515
(586) 752-4211
Mailing address
143 W SAINT CLAIR ST, ROMEO, MI 48065-4657
(586) 752-1515
(586) 752-4211

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005638
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E012690
BCBSM PROVIDER NUMBER
MI
01
0E05227
BCBSM INDIVIDUAL PROVIDER ID
MI
05
2823492
MI
Enumeration date
12/14/2006
Last updated
09/10/2009
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