Thomas P Sullivan, MD

NPI #1720056393 in Lodi, Wisconsin

Provider Information

NPI Number: 1720056393
Entity Type: Individual
Name: Thomas P Sullivan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 9, 2006
Last Updated: Jun 7, 2010

Practice Location

Address: 160 VALLEY DR
City: Lodi
State: Wisconsin
ZIP Code: 53555-1464
Phone: (608) 592-3296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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