Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4301081975 | MI |
N | 207VX0000X | Obstetrician | 4301081975 | MI |
NPI | 1114140605 |
---|---|
Provider Name | Dr. Seamus O'broin |
First Address | Ann Arbor, MI 48108 |
Second Address | Canton, MI 48187-5097 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 30/12/2014 |