THOMAS SULLIVAN, MD
Family Medicine
Active
Individual
NPI: 1720056393
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 19926 (WI) |
Frequently Asked Questions
NPI 1720056393 is the National Provider Identifier for THOMAS SULLIVAN, MD, a Family Medicine provider located in Lodi, WI. This NPI was enumerated on March 9, 2006.
THOMAS SULLIVAN, MD practices at 160 VALLEY DR, Lodi, WI 53555.
Quick Facts
- NPI
- 1720056393
- Type
- Individual
- Enumerated
- Mar 9, 2006
- Last Updated
- Jun 7, 2010
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