Individual
SHEENA MARIE SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7040
(262) 369-7041
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.059109
IL
207Q00000X
Family Medicine Physician
Primary
74785
WI
207Q00000X
Family Medicine Physician
78312
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158482
—
WI
Enumeration date
07/07/2011
Last updated
03/11/2024
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