William J Sullivan MD

NPI 1053448712 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053448712
Gender Male
Enumeration Date 02/28/2007
Last Updated 05/27/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3398 E MARIA DR
STEVENS POINT WI, 54481-1362, US
Phone (715) 341-7441
Fax
Business Location
900 ILLINOIS AVE
STEVENS POINT WI, 54481-3114, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Wisconsin
License Number 29681
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According to our database, William J Sullivan MD NPI is 1053448712, taxonomy code is 2084P0800X and license number is 29681, license state is located at Wisconsin. William J Sullivan MD physically located at 3398 E Maria Dr, Stevens Point WI, 54481-1362. NPI Number William J Sullivan MD has the Individual type.

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1053448712 NPI number is provided on an as is basis without warranty of any kind. 1053448712 is maintained by the National Plan & Provider Enumeration System. The contents of William J Sullivan MD are for informational purposes only.