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1205263159
SULLIVAN MEDICAL CLINIC, LLC
MILWAUKEE, WI
NPI
1205263159
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Entity Type
Organization
Authorized Contact
GERALD E SULLIVAN
Sole Mbr
414-447-9890
Organization Subpart ?
No
Primary Taxonomy
207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date
2013-10-07
Last Update Date
2013-10-07
Business Address
SULLIVAN MEDICAL CLINIC, LLC
6040 W LISBON AVE SUITE 200
MILWAUKEE, WI 53210-2116
Phone number: 414-447-9890
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Mailing Address
SULLIVAN MEDICAL CLINIC, LLC
6040 W LISBON AVE SUITE 200
MILWAUKEE, WI 53210-2116
Phone number: 414-447-9890
Copy
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