Individual
MICHELLE L O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114
(651) 254-3500
Mailing address
1440 DUCKWOOD DR, # 100, EAGAN, MN 55122-1451
(651) 254-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40776
MN
Other
Enumeration date
09/12/2006
Last updated
09/08/2020
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