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Contact Information

KEVIN M OBRIEN, MD
11800 E TWELVE MILE RD
WARREN, MI48093
 Phone: 586-573-5060
 Fax: 586-573-5197
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for KEVIN M OBRIEN · (Male)

NPI Number 1235157678
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 12/23/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 049709
  • MI Medicaid 1759163
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD MACOMB HOSPITAL - (Acute Care)
    15855 NINETEEN MILE RD
    CLINTON TOWNSHIP, MI 48038
  • HENRY FORD WEST BLOOMFIELD HOSPITAL - (Acute Care)
    6777 WEST MAPLE ROAD
    W BLOOMFIELD, MI 48322
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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