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PATRICIA JEAN SULLWOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 VETERANS DR, VETERANS AFFAIRS MEDICAL CENTER, MINNEAPOLIS, MN 55417-2309
(612) 725-2158
(612) 725-2118
Mailing address
2301 15TH ST NW, NEW BRIGHTON, MN 55112-5506
(651) 631-0462

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030530
MN

Other

Enumeration date
08/14/2006
Last updated
03/24/2011
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