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1659869550
BRIAN THOMAS SULLIVAN
LA CROSSE, WI
NPI
1659869550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 84361)
Enumeration Date
2018-04-25
Last Update Date
2024-09-23
Business Address
BRIAN THOMAS SULLIVAN
700 WEST AVE S
LA CROSSE, WI 54601-8806
Phone number: 608-785-0940
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Mailing Address
BRIAN THOMAS SULLIVAN
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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