Provider Demographics
NPI:1558353821
Name:MCMILLAN, SEAN ERIC (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:ERIC
Last Name:MCMILLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:154 MYRTLE AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-4833
Mailing Address - Country:US
Mailing Address - Phone:801-266-9300
Mailing Address - Fax:801-266-9305
Practice Address - Street 1:154 MYRTLE AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4833
Practice Address - Country:US
Practice Address - Phone:801-266-9300
Practice Address - Fax:801-266-9305
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2021-11-20
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Provider Licenses
StateLicense IDTaxonomies
UT5891032-1205207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology