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1700993805
LISA A SULLIVAN VEDDER
MILWAUKEE, WI
NPI
1700993805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 44418)
Enumeration Date
2006-08-24
Last Update Date
2024-01-05
Business Address
Dr. LISA A SULLIVAN VEDDER MD
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-2000
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Mailing Address
Dr. LISA A SULLIVAN VEDDER MD
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 414-219-2000
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