Individual
CHRISTINA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3821 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8460
(262) 687-3905
Mailing address
3821 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-8460
(262) 687-3905
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
63963
WI
207VX0000X
Obstetrics Physician
125.059155
IL
Other
Enumeration date
03/28/2011
Last updated
09/16/2015
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