Individual
DR. JERRY V O'BRIEN
Active
Individual
DR. JERRY V O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101009941
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3318319
—
MI
01
—
5704503
BCBS PIN NUMBER
MI
01
—
CE1952
RAILROAD GROUP BILL PIN
MI
01
—
JO009941
BCBS LICENSE NUMBER
MI
Enumeration date
04/11/2006
Last updated
04/08/2008
Update your record
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