Gerald Edward Sullivan in Milwaukee - Addiction Medicine
Gerald Edward Sullivan - NPI 1760683551
Gerald Edward Sullivan is a Addiction Medicine in Milwaukee, Wisconsin. Gerald Edward Sullivan practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Gerald Edward Sullivan is 1760683551. The last update date is 2019-08-12.
Gerald Edward Sullivan's current location address is 6040 W Lisbon Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4144479890 and fax number 4144479891. The mailing address for Gerald Edward Sullivan is 6040 W Lisbon Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Edward Sullivan |
|---|---|
| Address | 6040 W Lisbon Ave, Milwaukee, Wisconsin |
| Phone Number | 4144479890 |
| Fax Number | 4144479891 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760683551 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2019-08-12 |
Provider Mailing Address Detail
| Address | 6040 W Lisbon Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532102116 |
| Phone Number | 4144479890 |
| Fax Number | 4144479891 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 37202 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32475500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gerald Edward Sullivan by the Centers for Medicare & Medicaid Services?
The Gerald Edward Sullivan has been issued the NPI (National Provider Identifier) 1760683551, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gerald Edward Sullivan?
The Gerald Edward Sullivan is situated at 6040 W Lisbon Ave, in the city of Milwaukee, state of WI, with the zip code 532102116.
What is Gerald Edward Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gerald Edward Sullivan is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760683551 to Gerald Edward Sullivan?
The Centers for Medicare & Medicaid Services originally issued the 1760683551 to Gerald Edward Sullivan on 2007-05-30.
As of what date was the information regarding Gerald Edward Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gerald Edward Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-12.
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