Individual
DR. GRANT CHARLES O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 W WISCONSIN AVE, NEENAH, WI 54956-2502
(920) 720-6300
(920) 720-6315
Mailing address
1224 E AIRPORT RD, MENASHA, WI 54952-2076
(612) 655-0491
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4582-12
WI
Other
Enumeration date
11/05/2009
Last updated
02/12/2010
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