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Individual

SEAN MICHAEL MCINERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4220
(989) 583-4287
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2833
(989) 583-1440

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
4704229253
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700908290
MI
01
4704229253
STATE LICENSE
MI
Enumeration date
04/04/2007
Last updated
12/19/2014
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