Individual provider · Type 1 NPI

Michael J. Sullivan Iii, MD

Specialist · Lincoln, NE

NPI number 1144282096 Active

Practice location

600 N Cotner Blvd, Suite 208
Lincoln, NE 68505-2343

Call (402) 464-5969 Map

Fax (402) 464-3657

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X17866 (NE)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1144282096

Michael J. Sullivan Iii, MD's National Provider Identifier is 1144282096, issued on Apr 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lincoln, NE. The record was last updated on Nov 7, 2012.