Provider Demographics
NPI:1265692578
Name:SAYRE, SEAN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:MICHAEL
Last Name:SAYRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 6TH AVE.
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2610
Mailing Address - Country:US
Mailing Address - Phone:515-247-4445
Mailing Address - Fax:515-643-8933
Practice Address - Street 1:1111 6TH AVE
Practice Address - Street 2:MERCY PROFESSIONAL PRACTICE ASSOCIATES
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2613
Practice Address - Country:US
Practice Address - Phone:515-247-4445
Practice Address - Fax:515-643-8933
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA39632207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine