Individual provider · Type 1 NPI

Charles L. Sullivan, MD

Orthopaedic Hand Surgery Physician · Missoula, MT

NPI number 1619929635 Active

Practice location

2360 Mullan Rd, Suite C.
Missoula, MT 59808-1811

Fax (406) 721-6053

Mailing address

2360 Mullan Rd Ste C
Missoula, MT 59808-1811

Other practice locations

  • 6 13th Ave E, Polson, MT 59860-5315 · (406) 883-5680

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Hand Surgery Physician Primary 207XS0106XMED-PHYS-LIC-12035 (MT)

Orthopaedic Hand Surgery Physician: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

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About NPI 1619929635

Charles L. Sullivan, MD's National Provider Identifier is 1619929635, issued on May 17, 2006. The primary taxonomy on file is Orthopaedic Hand Surgery Physician (207XS0106X), and the practice location is in Missoula, MT. The record was last updated on Sep 6, 2026.