THOMAS P SULLIVAN

LODI, WI
NPI1720056393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  19926)
Enumeration Date2006-03-09
Last Update Date2010-06-07
Business Address
-- THOMAS P SULLIVAN MD
160 VALLEY DR
LODI, WI 53555-1464
Phone number: 608-592-3296
Mailing Address
-- THOMAS P SULLIVAN MD
160 VALLEY DR
LODI, WI 53555-1464
Phone number: 608-592-3296