Individual
DR. NICHOLAS KLAUER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5950 UNIVERSITY AVE STE 145, WEST DES MOINES, IA 50266-8233
(515) 875-9740
(515) 875-9672
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO-04687
IA
Other
Enumeration date
06/22/2009
Last updated
01/11/2024
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