ANNETTE SULLIVAN, M.D.

Dermatology - MOHS-Micrographic Surgery

Active Individual
NPI: 1316328719

Practice Address

1025 MARSH ST
Mankato, MN 56001

Phone: (507) 625-4031

Specialties

Specialty Code Primary License
Dermatology 207N00000X No 71763 (MN)
Internal Medicine 207R00000X No 125066220 (IL)
Dermatology - MOHS-Micrographic Surgery 207ND0101X Yes 71763 (MN)

Frequently Asked Questions

NPI 1316328719 is the National Provider Identifier for ANNETTE SULLIVAN, M.D., a Dermatology - MOHS-Micrographic Surgery provider located in Mankato, MN. This NPI was enumerated on June 11, 2015.
ANNETTE SULLIVAN, M.D. practices at 1025 MARSH ST, Mankato, MN 56001.

Quick Facts

NPI
1316328719
Type
Individual
Enumerated
Jun 11, 2015
Last Updated
Jun 10, 2025

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