Individual
SEAN OROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
23800 THAMES ST NE, STACY, MN 55079-9722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 148822-3
MN
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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