# SEAN KEANE M.D. S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316968423
- **Authorized official:** SEAN KEANE M.D. (OWNER)
- **Authorized official phone:** (414) 277-1115

## Contact information

- **Practice address:** 2315 N LAKE DR, SUITE 803, MILWAUKEE, WI 53211-4518
- **Practice address phone:** (414) 277-1115
- **Practice address fax:** (414) 277-1126
- **Mailing address:** 2315 N LAKE DR, SUITE 803, MILWAUKEE, WI 53211-4518
- **Mailing address phone:** (414) 277-1115
- **Mailing address fax:** (414) 277-1126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 17123-020 | WI | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30941800 | — | WI |