Individual
DR. SEAN MIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Mailing address
345 W WASHINGTON AVE, MADISON, WI 53703-2996
(608) 417-8300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036114366
IL
207Q00000X
Family Medicine Physician
Primary
64261
WI
Other
Enumeration date
09/25/2006
Last updated
06/28/2016
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