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Individual
SEAN MICHAEL MCINERNEY
Active
Individual
SEAN MICHAEL MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
4704229253
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700908290
—
MI
01
—
4704229253
STATE LICENSE
MI
Enumeration date
04/04/2007
Last updated
12/19/2014
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