Organization
MIDWEST EMERGENCY ASSOCIATES - LAKELAND, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SULLIVAN M.D. (OWNER)
(630) 472-8800
Entity
Organization
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
DEPT 4042 PO BOX 3834, OAK BROOK, IL 60522-3834
(630) 875-1500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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