Individual
DR. CHANEL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7000
Mailing address
905 CALVIN AVE SE, GRAND RAPIDS, MI 49506-3232
(231) 740-1488
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02006932A
IN
207P00000X
Emergency Medicine Physician
Primary
314330
NY
207P00000X
Emergency Medicine Physician
34.015540
OH
207P00000X
Emergency Medicine Physician
5101027655
MI
390200000X
Student in an Organized Health Care Education/Training Program
OT018434
PA
Other
Enumeration date
06/18/2018
Last updated
03/07/2024
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