| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARK OBRI | 1780264093 | 2021-04-11 |
Mark Obri is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780264093. Registration indicates Mark Obri is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Mark Obri MD |
| Practice Office Address | 2799 W GRAND BLVD DETROIT, MI US |
| Practice Office Telephone | 3139161888 |
| Mailing Address | 2799 W GRAND BLVD DETROIT, MI 482022689 US |
| Business Telephone | 3139161888 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |