Individual
KRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 AMERICAN AVE STE 304, WAUKESHA, WI 53188
(262) 549-2229
(262) 549-1657
Mailing address
721 AMERICAN AVE STE 304, WAUKESHA, WI 53188-5071
(262) 549-2229
(262) 549-1657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
65486-20
WI
Other
Enumeration date
04/07/2014
Last updated
06/18/2018
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