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

THOMAS P SULLIVAN, MD

Active

THOMAS P SULLIVAN, MD is a Family Medicine healthcare provider located in LODI, Wisconsin. NPI 1720056393 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LODI, WI

Registration Details

NPI Number
1720056393
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2006 (20.430635681765 yrs)
Last Updated
Jun 7, 2010
License
19926 (WI)

Practice Information

Address
160 VALLEY DR
LODI, WI, 535551464
Browse WI providers · Browse ZIP 53555
Phone
6085923296
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LODI, WI

Name Credential NPI
DALE P FANNEY MD 1508831413
RIAN J PODEIN MD 1467417576
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.