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Mark O'Brien

NPI 1124796545 · on the registry since 2021

Practice

Address
11505 39th Ave N
Plymouth, MN 55441
Phone
(612) 751-7531

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota