Individual
DR. COREY MICHAEL O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 415, LANSING, MI 48912-1800
(517) 484-2760
(517) 484-3050
Mailing address
1200 E MICHIGAN AVE, SUITE 415, LANSING, MI 48912-1800
(517) 484-2760
(517) 484-3050
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
CO018050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437321213
—
MI
01
—
200000021794
PHP
MI
01
—
CO018050
BCBS/BCN
MI
Enumeration date
04/01/2008
Last updated
12/18/2012
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