| John O'brien Iii, | |
| 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | |
| (952) 993-4500 | |
| Not Available | 
| Full Name | John O'brien Iii | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 15111 Twelve Oaks Center Dr, Minnetonka, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487631404 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 42708 (Minnesota) | Primary | 
| Entity Name | Park Nicollet Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 | 
| Mailing Address | Practice Location Address | 
|---|---|
| John O'brien Iii, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | John O'brien Iii, 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 Ph: (952) 993-4500 | 
| Danah Marie O'neil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14001 Ridgedale Drive, Suite 100, Minnetonka, MN 55305 Phone: 952-473-0211 Fax: 952-473-7908 | |
| Adrian Araya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6060 Clearwater Dr Ste 220, Minnetonka, MN 55343 Phone: 651-220-6624 | |
| Burton Allan Benson Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305 Phone: 952-473-0211 Fax: 952-473-7908 | |
| Dr. Lorene Freehill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345 Phone: 952-401-8300 | |
| Mary Hobbs Meland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17705 Hutchins Dr, Minnetonka, MN 55345 Phone: 952-401-8300 | |
| Dr. Tracy Goetz Hall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17705 Hutchins Dr, Minnetonka, MN 55345 Phone: 952-401-8300 | |
| Dale Thomas Dobrin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345 Phone: 952-401-8300 Fax: 952-401-8240 |