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Contact Information

PATSA H SULLIVAN, MD
800 E 28TH STREET
MINNEAPOLIS, MN55407-3723
 Phone: 612-863-4060
 Fax: 952-808-8131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PATSA H SULLIVAN · (Female)

NPI # 1013093061
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2006
Last updated 06/10/2009 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 47577
  • MN Medicaid 724486000
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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