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1225115652
MARCIA SULLIVAN
MILWAUKEE, WI
NPI
1225115652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 935)
Enumeration Date
2006-11-01
Last Update Date
2011-05-25
Business Address
-- MARCIA SULLIVAN NP
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207-2521
Phone number: 414-769-4900
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Mailing Address
-- MARCIA SULLIVAN NP
4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-769-4900
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