NPI 1225354681

Clemence Marie Sullivan, MD

Practitioner Internal Medicine Physician Saint Louis Park, MN

Practice location

Address: 5100 Gamble Dr STE 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1582
Phone: (952) 541-2500
Fax: (952) 595-6455
Mailing address: PO Box 1309 - 8170 33rd Ave S Ms 21110q, Minneapolis, MN 55425-4516

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 58690 (MN)

Other Internal Medicine providers in Minnesota →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Minnesota →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 58690 (MN)

Other Pediatrics providers in Minnesota →

Registry record

NPI: 1225354681
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2010
Record last updated: 18 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.