Individual
SHEILA KERRI SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
123 HOSPITAL DRIVE, SUITE 1002, WATERTOWN, WI 53098-3320
(920) 261-8225
(920) 261-5343
Mailing address
123 HOSPITAL DRIVE, SUITE 1002, WATERTOWN, WI 53098-3320
(920) 261-8225
(920) 261-5343
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
61084-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992023493
—
WI
Enumeration date
05/07/2010
Last updated
02/19/2014
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