IndividualActive
Jordan Sullivan, DPM
NPI 1255877643 · Foot & Ankle Surgery Podiatrist · Milwaukee, WI
Provider details
- NPI number
- 1255877643
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 18096 (WI)
Practice location
2301 N Lake Dr
Podiatric Residency Office
Milwaukee, WI 53211-4508
Phone: (402) 310-7374
Mailing address
2301 N Lake Dr
Milwaukee, WI 53211-4508
Registry dates
- Enumerated
- 2017-01-10
- Last updated
- 2017-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.