Individual
MR. SEAN M MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9576 HIGHWAY 70, MINOCQUA, WI 54548-9067
(715) 358-1000
(715) 358-1156
Mailing address
9576 HIGHWAY 70, MINOCQUA, WI 54548-9067
(715) 358-1000
(715) 358-1156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1796-023
WI
Other
Enumeration date
08/23/2006
Last updated
03/07/2023
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