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Dr. Michael J. Sullivan III, MD
Specialist in Lincoln, Nebraska
NPI 1144282096

Michael J. Sullivan III is a Specialist based in Lincoln, NE. Michael J. Sullivan III practices in Lincoln, NE and has the professional credentials of MD. The NPI Number for Michael J. Sullivan III is 1144282096 and holds a License No. 17866 (Nebraska).

The current practice location address for Michael J. Sullivan III is 600 N Cotner Blvd, Lincoln, NE and can be reached out via phone at 402-464-5969 and via fax at 402-464-3657.

Location: 600 N Cotner Blvd, Lincoln, NE, 68505-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144282096
Provider Name
Michael J. Sullivan III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 N Cotner Blvd, Lincoln, NE, 68505-2343
Phone Number
402-464-5969
Fax Number
402-464-3657
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47060801513 05 NE
institution
Provider Business Practice Location Address Details
Address
600 N Cotner Blvd
City
Lincoln
State
Nebraska
Zip
68505-2343
Phone Number
402-464-5969
Fax Number
402-464-3657
person
Provider Business Mailing Address Details
Address
600 N Cotner Blvd
City
Lincoln
State
Nebraska
Zip
68505-2343
Phone Number
402-464-5969
Fax Number
402-464-3657
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
17866 (Nebraska)
Definition
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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