Individual
DR. SEAN S WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
Mailing address
PO BOX 638257, CINCINNATI, OH 45263-8257
(888) 952-6772
(856) 694-5179
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301078051
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4631349
—
MI
05
—
10-4631358
—
MI
05
—
10-4631376
—
MI
05
—
10-4631385
—
MI
05
—
10-4631394
—
MI
05
—
10-4710335
—
MI
05
—
10-4710344
—
MI
05
—
10-4710353
—
MI
01
—
11311888
CAQH
MI
Enumeration date
01/09/2006
Last updated
07/22/2025
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