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Individual

MR. SEAN PATRICK SULLIVAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
141 LAKESHORE DR, UNIT A6, RACINE, WI 53403-9653
(262) 552-0229
Mailing address
4111 N 83RD ST, MILWAUKEE, WI 53222-1805
(414) 379-4748
(414) 461-8772

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
WI

Other

Enumeration date
04/06/2006
Last updated
07/08/2007
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