Patrick P Sullivan MD

NPI 1063491819 - Radiology - 2085R0202X

NPI Details
NPI 1063491819
Gender Male
Enumeration Date 01/11/2006
Last Updated 06/15/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
166 4TH ST E
SAINT PAUL MN, 55101-1421, US
Phone (651) 292-2043
Fax (651) 292-2204
Business Location
166 4TH ST E
SAINT PAUL MN, 55101-1421, US
Phone (651) 292-2043
Fax (651) 292-2204
Toxanomy
Taxonomy Code 2085R0202X
License State Minnesota
License Number 35518
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According to our database, Patrick P Sullivan MD NPI is 1063491819, taxonomy code is 2085R0202X and license number is 35518, license state is located at Minnesota. Patrick P Sullivan MD physically located at 166 4th St E, Saint Paul MN, 55101-1421. NPI Number Patrick P Sullivan MD has the Individual type.

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1063491819 NPI number is provided on an as is basis without warranty of any kind. 1063491819 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick P Sullivan MD are for informational purposes only.