Dr THOMAS A SULLIVAN is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1997 from University Of Nebraska College Of Medicine.
ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC
575 4TH ST
KEWAUNEE
WI
542161785
Tel: 9203884640
| Npi | 1114004181 |
| Pac Id | 6800971888 |
| Professional Enrollment Id | I20080319000039 |
| Last Name | SULLIVAN |
| First Name | THOMAS |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
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| Organization Legal Name | ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC |
| Group Practice Pac Id | 9739264714 |
| Number Of Group Practice Members | 24 |
| Line 1 Street Address | 575 4TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KEWAUNEE |
| State | WI |
| Zip Code | 542161785 |
| Phone Number | 9203884640 |
| Hospital Affiliation Ccn 1 | 520049 |
| Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 521310 |
| Hospital Affiliation Lbn 2 | HSHS ST CLARE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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