Individual
DR. SEAN P OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 GULL RD, SUITE 020, KALAMAZOO, MI 49048-1650
(269) 381-4577
(269) 381-6409
Mailing address
1535 GULL RD, SUITE 020, KALAMAZOO, MI 49048-1650
(269) 381-4577
(269) 381-6409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
SO059838
MI
2086S0129X
Vascular Surgery Physician
Primary
SO059838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4130866
—
MI
Enumeration date
04/26/2006
Last updated
08/13/2010
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