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Kenneth Sullivan, MD
Surgery Physician in Berlin, Wisconsin
NPI 1902899917

Kenneth Sullivan is a Surgery Physician based in Berlin, WI. Kenneth Sullivan practices in Berlin, WI and has the professional credentials of MD. The NPI Number for Kenneth Sullivan is 1902899917 and holds a License No. 40493-020 (Wisconsin).

The current practice location address for Kenneth Sullivan is 225 Memorial Dr, Berlin, WI and can be reached out via phone at 920-361-5525.

Location: 225 Memorial Dr, Berlin, WI, 54923-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902899917
Provider Name
Kenneth Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
225 Memorial Dr, Berlin, WI, 54923-1243
Phone Number
920-361-5525
Fax Number
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32483800 05 WI
institution
Provider Business Practice Location Address Details
Address
225 Memorial Dr
City
Berlin
State
Wisconsin
Zip
54923-1243
Phone Number
920-361-5525
Fax Number
person
Provider Business Mailing Address Details
Address
225 Memorial Dr
City
Berlin
State
Wisconsin
Zip
54923-1243
Phone Number
920-361-5525
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
40493-020 (Wisconsin)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
40493-020 (Wisconsin)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
40493-020 (Wisconsin)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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