Vincent E. Sullivan MD PC

NPI #1174705628 in Centerville, Iowa

Provider Information

NPI Number: 1174705628
Entity Type: Organization
Organization Name: Vincent E. Sullivan MD PC
Primary Specialty: Surgery
Enumeration Date: Nov 27, 2007
Last Updated: Nov 27, 2007

Practice Location

Address: 19878 SAINT JOSEPH DR
City: Centerville
State: Iowa
ZIP Code: 52544-8850
Phone: (641) 437-1576

Authorized Official

Name: DR. VINCENT EDWARD SULLIVAN, M.D.
Title: OWNER
Phone: (641) 437-1576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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