Individual
MR. MICHAEL BRIAN SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC MILITARY
Contact information
Practice address
FPO AP 96662-2418, USS COLUMBUS SSN 762, PEARL HARBOR, HI 96860
(360) 720-1096
Mailing address
20 ELLIS ST, FREEHOLD, NJ 07728-1810
(360) 720-1096
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CT
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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