Individual provider · Type 1 NPI

Shannon Marie Sullivan, MD

Family Medicine Physician · Menasha, WI

NPI number 1972998680 Active

Practice location

2005 Midway Rd
Menasha, WI 54952

Fax (920) 993-2919

Mailing address

122 E College Ave
Appleton, WI 54911-5794

Other practice locations

  • 1121 E North Ave, Milwaukee, WI 53212-3515 · (414) 267-6502

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X66251 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14 other providers at this address

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About NPI 1972998680

Shannon Marie Sullivan, MD's National Provider Identifier is 1972998680, issued on Mar 31, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Menasha, WI. The record was last updated on Sep 13, 2018.