Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON MARIE SULLIVAN, M.D.
ActiveDR. SHANNON MARIE SULLIVAN, M.D. is a Family Medicine healthcare provider located in MENASHA, Wisconsin. NPI 1972998680 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MENASHA, WI
Registration Details
- NPI Number
- 1972998680
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2015 (11.365209093371 yrs)
- Last Updated
- Sep 13, 2018
- License
-
66251 (WI)
Practice Information
- Address
-
2005 MIDWAY RDMENASHA, WI, 54952Browse WI providers · Browse ZIP 54952
- Phone
- 9208328500
- Fax
- 9209932919
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MENASHA, WI
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE R DONATELLE | MD | 1871587782 |
| CHERYL-LYNN M PITRE | MD | 1801881214 |
| GARY MARK HEIFNER | MD | 1518952928 |
| JOHN R SPENCER | MD | 1598720575 |
| NATHAN C GRUNWALD | MD | 1073549887 |
| SUZANNE C BLOOMHUFF | MD | 1093744245 |
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.