Individual
STEVEN P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2809 E HAMILTON AVE, SUITE 107, EAU CLAIRE, WI 54701-6863
(715) 834-1555
(715) 835-0263
Mailing address
2809 E HAMILTON AVE, SUITE 107, EAU CLAIRE, WI 54701-6863
(715) 834-1555
(715) 835-0263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
714-030
WI
Other
Enumeration date
11/22/2005
Last updated
06/12/2012
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