John O'Brien III

Pediatrics Physician · Minnetonka, MN

Individual Active NPI

NPI number 1487631404

Practice location

15111 Twelve Oaks Center Dr
Minnetonka, MN 55305-5201
Phone
(952) 993-4500

Open in Google Maps

NPI record

NPI
1487631404
Entity type
Individual (Type 1)
Enumeration date
December 30, 2005
Last updated
March 9, 2021
Certified
March 9, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 42708 MN

Mailing address

8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516

About John O'Brien

John O'Brien III is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201. The NPI number 1487631404 was assigned on December 30, 2005 and the record was last updated on March 9, 2021.

John O'Brien lists a license in the registry: #42708 (MN) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John O'Brien III?

The NPI number is 1487631404.

What is the phone number of John O'Brien?

The phone number listed for the practice location is (952) 993-4500.

Where is John O'Brien located?

15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201.

What is the taxonomy code for John O'Brien?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Minnetonka

All Pediatrics Physician providers in Minnetonka, MN →