BRIAN THOMAS SULLIVAN

LA CROSSE, WI
NPI1659869550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: WI  84361)
Enumeration Date2018-04-25
Last Update Date2024-09-23
Business Address
BRIAN THOMAS SULLIVAN
700 WEST AVE S
LA CROSSE, WI 54601-8806
Phone number: 608-785-0940
Mailing Address
BRIAN THOMAS SULLIVAN
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511