Individual
DR. JOHN W SEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16250 NORTHLAND DR, SUITE 310, SOUTHFIELD, MI 48075-5205
(248) 730-4687
(248) 682-3108
Mailing address
5207 DEER RUN CIR, SUITE 445, ORCHARD LAKE, MI 48323-1511
(248) 730-4687
(248) 682-3108
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
5101007184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003837
CAPE HEALTH PLAN
—
01
—
0656311545
BLUE CROSS BLUE SHIELD MI
—
05
—
1755315
—
MI
01
—
222582
OMNI CARE HEALTH PLAN
—
01
—
382683691
COMMERCIAL
—
01
—
820536
PROCARE ABW
—
Enumeration date
07/03/2006
Last updated
03/03/2016
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