Individual
DR. PATSA H SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E 28TH STREET, MINNEAPOLIS, MN 55407-3723
(612) 863-4060
(952) 808-8131
Mailing address
800 E 28TH STREET, MINNEAPOLIS, MN 55407-3723
(612) 863-4060
(612) 863-4963
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
47577
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724486000
—
MN
Enumeration date
10/31/2006
Last updated
11/10/2020
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