Michael E. Sullivan, M.D.
Family Medicine · Watertown, WI
UnclaimedM.D.NPI 1093883142
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2006-11-30
- Practice location
- Watertown, WI
- Last NPPES update
- 2022-04-07
State licenses
- WI · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.