Individual
DR. PATRICK MICHAEL SULLIVAN NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 MEMORIAL DR STE 160, BELLEVILLE, IL 62226-5359
(618) 825-9272
(618) 416-0153
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(618) 825-9272
(618) 416-0153
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036133474
IL
2086S0129X
Vascular Surgery Physician
57.017278
OH
Other
Enumeration date
06/17/2011
Last updated
04/07/2026
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