Theresa E Sullivan, D.O. , M.P.H
Hospitalist in Mount Pleasant, WI. Individual provider (NPI-1).
NPI number1447539655
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1447539655
- Entity type
- Individual (NPI-1)
- Name
- Theresa E Sullivan
- Credential
- D.O. , M.P.H
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2011
- Certification date
- Oct 16, 2023
- Last updated
- Oct 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 62926 | WI | Yes |
| 207R00000X | Internal Medicine | 125060039 | IL | |
| 207R00000X | Internal Medicine | 62926 | WI |
Practice location
13250 Washington AveMount Pleasant, WI 53177-1516
Phone 262-799-8700
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 414-649-6000
Other practice locations
975 Port Washington Rd
Grafton, WI 53024
Grafton, WI 53024
Phone 262-329-1000 · Fax 262-329-1001
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