Provider Demographics
NPI:1174681126
Name:SHEEHY, MICHAEL EDWARD (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:SHEEHY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3462 E LAWMAN DR
Mailing Address - Street 2:NULL
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-3619
Mailing Address - Country:US
Mailing Address - Phone:702-274-8220
Mailing Address - Fax:928-692-4150
Practice Address - Street 1:3462 E LAWMAN DR
Practice Address - Street 2:NULL
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-8640
Practice Address - Country:US
Practice Address - Phone:928-352-1197
Practice Address - Fax:928-251-8079
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2025-03-21
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Provider Licenses
StateLicense IDTaxonomies
AZ42412083A0300X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine