Individual
DANIEL T OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4646 JOHN R ST, 11M, DETROIT, MI 48201-1916
(313) 576-3724
Mailing address
43350 TYLER RD, BELLEVILLE, MI 48111-4330
(313) 576-3724
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001300
MI
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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