Individual
DR. MARK S OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4070 LAKE DR SE, SUITE 201, GRAND RAPIDS, MI 49546-8294
(616) 774-8200
(616) 774-0304
Mailing address
4070 LAKE DR SE, SUITE 201, GRAND RAPIDS, MI 49546-8294
(616) 774-8200
(616) 774-0304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MO048187
MI
Other
Enumeration date
05/06/2006
Last updated
11/16/2009
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