Individual
NICHOLAS W SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3209 DRYDEN DR, MADISON, WI 53704-3015
(608) 241-9020
(608) 240-4237
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74439-21
WI
208M00000X
Hospitalist Physician
74439
WI
Other
Enumeration date
04/02/2019
Last updated
10/19/2022
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