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Contact Information

SEAN T WILLEY, DO
8100 W 78TH ST
SUITE 230
EDINA, MN55439-2516
 Phone: 952-946-9777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SEAN T WILLEY · (Male)

NPI Number 1346335684
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/03/2006
Last updated 03/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 54642
  • MN Other 250001056 MEDICARE PTAN
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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