Organization
SEAN M ROONEY MD PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN M ROONEY MD PHD (PRESIDENT)
(906) 226-2531
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 150, MARQUETTE, MI 49855-2675
(906) 226-2531
(906) 226-7555
Mailing address
1414 W FAIR AVE, SUITE 150, MARQUETTE, MI 49855-2675
(906) 226-2531
(906) 226-7555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
SR079243
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1805210212
BLUE CROSS
MI
01
—
4153170001
ADMINASTAR FEDERAL DME
MI
Enumeration date
03/16/2007
Last updated
04/09/2013
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