DR. Michael J. Sullivan III, M.D.

NPI #1144282096 in Lincoln, Nebraska

Provider Information

NPI Number: 1144282096
Entity Type: Individual
Name: DR. Michael J. Sullivan III, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Apr 5, 2006
Last Updated: Nov 7, 2012

Practice Location

Address: 600 N COTNER BLVD
Address 2: SUITE 208
City: Lincoln
State: Nebraska
ZIP Code: 68505-2343
Phone: (402) 464-5969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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