Individual
MICHAEL JOHN SHEEHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
(906) 779-3144
Mailing address
217 N IRON LAKE RD, P.O. BOX 407, IRON RIVER, MI 49935-9477
(906) 265-5474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704102356
MI
367500000X
Certified Registered Nurse Anesthetist
639435
TX
367500000X
Certified Registered Nurse Anesthetist
64025-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4337790
—
WI
Enumeration date
07/18/2006
Last updated
07/08/2007
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