Individual
JAMES D. O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101009791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4481500
—
MI
01
—
700Z610010
BCBS
MI
Enumeration date
12/21/2005
Last updated
03/07/2023
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