Individual
SEAN C HALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
PO BOX 5009, SIOUX FALLS, SD 57117-5009
(605) 977-5000
(605) 977-5377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44354
WI
207RC0000X
Cardiovascular Disease Physician
5802
SD
207RI0011X
Interventional Cardiology Physician
Primary
5802
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052817000
—
MN
05
—
1582791
—
IA
01
—
165025
UCARE
—
01
—
4994073
SD BCBS
SD
01
—
4994073
IOWA BLUE SHIELD
—
05
—
6005310
—
SD
01
—
931451031071
PREFERRED ONE
—
Enumeration date
11/10/2005
Last updated
10/05/2022
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