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NPI Code Detail

MEDICARE: MR. SEAN PERIN

MEDICARE:  MR. SEAN  PERIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1740634294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN PERIN
Provider Business Mailing Address
First Line : 4534 ROHNS ST
Second Line :
City : DETROIT
State : MI
Zip : 48214-1368
Country : US
Telephone Number : 313-673-1414
Fax Number :
Provider Business Practice Location Address
First Line : 4534 ROHNS ST
Second Line :
City : DETROIT
State : MI
Zip : 48214-1368
Country : US
Telephone Number : 313-673-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2016
Last Update Date : 04/21/2016

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Directions to “ MR. SEAN PERIN ” Practice Location

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