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Individual

DR. MICHAEL JOSEPH O'BRIEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6615 CLINGAN ROAD, SUITE A, POLAND, OH 44514-4202
(330) 707-1425
(330) 757-2814
Mailing address
6615 CLINGAN ROAD, SUITE A, POLAND, OH 44514-4202
(330) 707-1425
(330) 757-2814

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35080796
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2355802
OH
01
35080796
LICENSE
OH
Enumeration date
12/05/2005
Last updated
07/08/2007
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