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Individual

DR. SEAN OWEN CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6292 CHASEWOOD DR, EDEN PRAIRIE, MN 55344-3289
(952) 595-1242
(952) 942-3361
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1242
(952) 942-3361

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39941
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00069193
BCBS
VT
01
01Y010164NH01
ANTHEM BCBS
05
1012423
VT
05
113825
AZ
05
1721318-01
TX
05
251225400
MN
01
3106349162
BCBS TRADITIONAL NETWORK
MI
01
4135092
BCBS
TN
01
4149605
CIGNA
05
4714399
MI
01
796659
MVP
05
8052969
ID
01
8S0641
BCBS
TX
05
9550848
MS
01
AZ0911140
BCBS
AZ
Enumeration date
12/06/2005
Last updated
03/12/2009
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