Organization
SEAN KEANE M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN KEANE M.D. (OWNER)
(414) 277-1115
Entity
Organization
Contact information
Practice address
2315 N LAKE DR, SUITE 803, MILWAUKEE, WI 53211-4518
(414) 277-1115
(414) 277-1126
Mailing address
2315 N LAKE DR, SUITE 803, MILWAUKEE, WI 53211-4518
(414) 277-1115
(414) 277-1126
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17123-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30941800
—
WI
Enumeration date
07/22/2006
Last updated
04/20/2008
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