Clemence Marie Sullivan, M.D.

NPI #1225354681 in Saint Louis Park, Minnesota

Provider Information

NPI Number
1225354681
Entity Type
Individual
Name
Clemence Marie Sullivan, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Apr 10, 2010
Last Updated
Nov 18, 2014

Practice Location

Address
5100 GAMBLE DR STE 100
Address 2
MAIL STOP 31200A
ZIP Code
55416-1582
Phone
(952) 541-2500

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Internal Medicine
Pediatrics

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