NPI 1013902162

Mary Ann O'Brien, MD

Practitioner Family Medicine Physician Fort Wayne, IN

Practice location

Address: 3909 New Vision Dr, Fort Wayne, IN 46845-1725
Phone: (260) 496-6602
Fax: (260) 969-3065
Mailing address: 1234 E Dupont Rd Suite 3, Fort Wayne, IN 46825-1545

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01037346A (IN)

Other Family Medicine providers in Indiana →

Registry record

NPI: 1013902162
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2005
Record last updated: 20 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.