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Individual

MICHAEL WADE O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
(203) 573-9182
Mailing address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
(203) 573-9182

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
76983
CT
390200000X
Student in an Organized Health Care Education/Training Program
63919
NY

Other

Enumeration date
03/27/2017
Last updated
06/14/2024
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