Provider Demographics
NPI:1679536825
Name:FLOOD, SEAN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:PAUL
Last Name:FLOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 HILLCREST DRIVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-4439
Mailing Address - Country:US
Mailing Address - Phone:715-531-6800
Mailing Address - Fax:715-531-6801
Practice Address - Street 1:2651 HILLCREST DRIVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-4439
Practice Address - Country:US
Practice Address - Phone:715-531-6800
Practice Address - Fax:715-531-6801
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN249862083X0100X
WI418202083X0100X
WI249862083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0507009OtherPREFERRED ONE
MNHP16215OtherHEALTHPARTNERS
MN598198OtherAMERICA'S PPO
MN0101856OtherMEDICA
MN4659395OtherAETNA
MN08F26FLOtherBCBS OF MN
MN851098900Medicaid
MN104238OtherUCARE MN
MN080004981Medicare ID - Type Unspecified
MN851098900Medicaid
MND83663Medicare UPIN