Search › Wisconsin › 207Q00000X
Shannon Sullivan, M.D
NPI 1972998680 · on the registry since 2015
Practice
- Address
- 2005 Midway Rd
Menasha, WI 54952 - Phone
- (920) 832-8500
- Fax
- (920) 993-2919
- Clinicians at this address
- 15
Additional practice sites
- 1121 E North Ave, Milwaukee, WI
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-13
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 Wisconsin