Individual
JOHN O'BRIEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4500
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42708
MN
Other
Enumeration date
12/30/2005
Last updated
03/09/2021
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