Individual
SEAN R MCCLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43180
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43491900
—
WI
Enumeration date
11/29/2006
Last updated
10/17/2007
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