Individual
DR. SEAN DECLAN KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9536 W BROOKSIDE DR, GREENFIELD, WI 53228-3516
(414) 425-6595
Mailing address
9536 W BROOKSIDE DR, GREENFIELD, WI 53228-3516
(414) 425-6595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50014
WI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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