Individual
ELLEN M OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5026 N NORTHWOOD TRCE, JANESVILLE, WI 53545-8990
(608) 295-9500
Mailing address
5026 N NORTHWOOD TRCE, JANESVILLE, WI 53545-8990
(608) 295-9500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31361
WI
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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