Search › Minnesota › 207R00000X
Clemence Sullivan, M.D
NPI 1225354681 · on the registry since 2010
Practice
- Address
- 5100 Gamble Dr Ste 100
Mail Stop 31200a
Saint Louis Park, MN 55416 - Phone
- (952) 541-2500
- Fax
- (952) 595-6455
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
208000000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota