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1114004181
THOMAS ANDREW SULLIVAN
GREEN BAY, WI
NPI
1114004181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 44603)
Enumeration Date
2006-11-01
Last Update Date
2010-09-10
Business Address
Mr. THOMAS ANDREW SULLIVAN MD
2223 LIME KILN RD SUITE 1
GREEN BAY, WI 54311-6213
Phone number: 920-430-8120
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Mailing Address
Mr. THOMAS ANDREW SULLIVAN MD
2223 LIME KILN RD SUITE 1
GREEN BAY, WI 54311-6213
Phone number: 920-430-8120
Copy
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