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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLEMENCE MARIE SULLIVAN, M.D.

Active

CLEMENCE MARIE SULLIVAN, M.D. is a Internal Medicine healthcare provider located in SAINT LOUIS PARK, Minnesota. NPI 1225354681 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SAINT LOUIS PARK, MN

Registration Details

NPI Number
1225354681
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2010 (16.322475126481 yrs)
Last Updated
Nov 18, 2014
Licenses
58690 (MN)
58690 (MN)

Practice Information

Address
5100 GAMBLE DR STE 100
MAIL STOP 31200A
SAINT LOUIS PARK, MN, 554161582
Browse MN providers · Browse ZIP 55416
Phone
9525412500
Fax
9525956455
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Pediatrics

Other Internal Medicine Providers in SAINT LOUIS PARK, MN

Name Credential NPI
DR. STEVEN J BOROWSKY M.D. 1790762920
DR. JACOB ISAAC MIRMAN M.D. 1568404440
CRAIG E MARSHALL MD 1063578706
ISMAIL HASSAN MUALIN M.D 1801012083
DYLAN ZYLLA MD 1356560882
DR. MICHAEL J. BLEET M.D. 1194085449
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.