Individual
DR. PADRAIC RORY OBMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
4762 CINNAMON PL, INDIANAPOLIS, IN 46237-3681
(317) 437-8365
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
51923-20
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD.28068
AL
Other
Enumeration date
04/04/2007
Last updated
12/13/2019
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