Individual
SEAN THOMAS MCGAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4601
Mailing address
PO BOX 1487, MUSKEGON, MI 49443-1487
(616) 975-1845
(616) 970-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015575
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00645044
RAILROAD MEDICARE
MI
Enumeration date
02/01/2007
Last updated
08/19/2010
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