Individual
MR. TIMOTHY JOSEPH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1336 W A STE A, CODDINGTON MEDICAL FAMILY PRACTICE, LINCOLN, NE 68522-1231
(402) 438-0101
(402) 817-1245
Mailing address
7711 W WALIN LN, LINCOLN, NE 68532-9200
(402) 742-2502
(402) 817-1245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17443
NE
Other
Enumeration date
11/11/2005
Last updated
09/18/2015
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