Mark D O'Brien, D.O. Valid NPI
Individual provider · Pediatrics Physician · Fort Wayne, IN
- NPI
- 1265532212
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 02001451A (IN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-22
- Last updated
- 2025-04-14
Practice location
6507 E State Blvd
Fort Wayne, IN 46815-7026
(260) 486-3300