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Individual

DR. CONNOR WILLIAM SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
75730-20
WI
207XP3100X
Pediatric Orthopaedic Surgery Physician
75730-20
WI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
75730-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629463872
WI
Enumeration date
04/04/2015
Last updated
02/02/2026
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