Individual
GEORGE THOMAS O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Mailing address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36653
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016006
PREFERRED ONE
MN
01
—
3107053
PHP
MN
01
—
3180156
MEDICA PRIMARY
MN
01
—
32463400
WISCONSIN MA
WI
01
—
41Q33OB
BCBS
MN
05
—
87401600
—
MN
01
—
HP25085
HEALTHPARTNERS
MN
Enumeration date
08/19/2006
Last updated
12/03/2007
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