Dr. Mark Daniel O'brien
Adolescent Medicine
6108 Maplecrest Rd
Fort Wayne
, Indiana 46835-2524
Dr. Mark Daniel O'brien
Adolescent Medicine
6108 Maplecrest Rd
Fort Wayne
, Indiana 46835-2524
(260) 458-5664
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Mark Daniel O'brien
- 1234 E Dupont Rd Suite 1
- Fort Wayne, IN
- Zip : 46825-1545
- Fax : (260) 458-5664
- Phone : (260) 373-9965
Second Address
- Dr. Mark Daniel O'brien
- 6108 Maplecrest Rd
- Fort Wayne, IN
- Zip : 46835-2524
- Fax : (260) 486-3600
- Phone : (260) 486-3300
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FAQs
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Is Dr. Mark Daniel O'brien a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 02001451A | IN |
National Provider Identifier
| NPI | 1265532212 |
|---|---|
| Provider Name | Dr. Mark Daniel O'brien |
| First Address | Fort Wayne, IN 46825-1545 |
| Second Address | Fort Wayne, IN 46835-2524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 02/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000606296 | ANTHEM (01) | IN |
| 200931380 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.