Individual
MR. SEAN PENARANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
4953-23
WI
Other
Enumeration date
04/20/2010
Last updated
07/25/2023
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