SearchMichigan2255A2300X

Trevor O'Brien

NPI 1710393749 · on the registry since 2014 · sole proprietor

Practice

Address
635 N Selfridge Blvd
Clawson, MI 48017
Phone
(248) 990-7833

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-10

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 Michigan