SearchMichigan101YA0400X

Michael O'Brien, AAS, CAC-II, SST

NPI 1861603417 · on the registry since 2007

Practice

Address
36 W Tennyson Ave
Pontiac, MI 48340
Phone
(248) 454-0407
Fax
(248) 454-6557

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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