Individual
DR. SEAN G CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21780 21 MILE RD, MACOMB, MI 48044-2974
(586) 242-7761
Mailing address
21780 21 MILE RD, MACOMB, MI 48044-2974
(586) 421-2020
(586) 421-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003864
MI
Other
Enumeration date
06/14/2006
Last updated
02/28/2019
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