Most Relevant Information
Provider Data
| NPI Number: | 1003689183 |
| Provider Name: | GAVIN O'BRIEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2023 |
| Last Updated: | 11/01/2023 |
Provider Practice Location
3475 PLYMOUTH RD
ANN ARBOR
MI
481052550
Practice Location Phone/Fax
| Phone: | 7349957300 |
| Fax: |
Provider Mailing Location
3475 PLYMOUTH RD
ANN ARBOR
MI
481052550
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |