Individual
JOHN A SEBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1555 NORTHWAY DR STE 100, SAINT CLOUD, MN 56303-1258
(320) 251-1775
(320) 240-3131
Mailing address
1245 15TH ST N, SAINT CLOUD, MN 56303-1802
(320) 253-5220
(320) 203-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36840
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144018700
—
MN
Enumeration date
03/08/2006
Last updated
08/28/2020
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