Individual
DEANNA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 993-1245
Mailing address
38599 KINGSBURY ST, LIVONIA, MI 48154-1345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011395
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2021
Last updated
12/08/2025
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