Individual
MICHAEL SEAN OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3110 SW 89TH ST, SUITE 200C, OKLAHOMA CITY, OK 73159-7920
(405) 759-2663
(405) 759-3827
Mailing address
PO BOX 890358, OKLAHOMA CITY, OK 73189-0358
(405) 759-2663
(405) 759-3827
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3481
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102670A
—
OK
Enumeration date
02/15/2006
Last updated
10/26/2011
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