Individual
SEAN FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503
(616) 391-1730
Mailing address
PO BOX 27037, LANSING, MI 48909-8016
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301117022
MI
Other
Enumeration date
04/04/2016
Last updated
06/11/2019
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