Individual
DR. STEVEN WILLIAM O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
311 DEWEY ST, FOLEY, MN 56329
(320) 968-7062
(320) 968-7440
Mailing address
311 DEWEY ST, P.O. BOX 649, FOLEY, MN 56329
(320) 968-7062
(320) 968-7440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9540
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40-41433
MEDICA
MN
01
—
55166OB
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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