Individual
TIMOTHY WAYNE SULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
154 COLORADO AVE, MONTROSE, CO 81401-3651
(970) 252-9165
(970) 252-8874
Mailing address
154 COLORADO AVE, MONTROSE, CO 81401-3651
(970) 252-9165
(970) 252-8874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39301
CO
207Q00000X
Family Medicine Physician
66433
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080180229
RAILROAD MEDICARE
CO
05
—
65084730
—
CO
Enumeration date
06/02/2006
Last updated
03/31/2025
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