Provider Demographics
NPI:1104960657
Name:O'BRIEN, MICHAEL J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:O'BRIEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:DEPT. OF ORTHOPAEDICS, SL-32, ROOM 2070
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5770
Mailing Address - Fax:504-988-3517
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:DEPT. OF ORTHOPAEDICS, SL-32, ROOM 2070
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5770
Practice Address - Fax:504-988-3517
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2011-08-08
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Provider Licenses
StateLicense IDTaxonomies
LAMD203048207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine