Organization
MARK S OBRIEN MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN OBRIEN MD (MANAGER)
(616) 774-8200
Entity
Organization
Contact information
Practice address
4070 LAKE DR SE, SUITE 201, GRAND RAPIDS, MI 49546-8294
(616) 774-8200
(616) 774-0304
Mailing address
4070 LAKE DR SE, SUITE 201, GRAND RAPIDS, MI 49546-8294
(616) 774-8200
(616) 774-0304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301048187
MI
Other
Enumeration date
03/27/2009
Last updated
10/24/2012
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