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Organization
MICHAEL J. SULLIVAN MD
Active
Organization
MICHAEL J. SULLIVAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J SULLIVAN M.D. (PHYSICIAN)
(619) 692-3977
Entity
Organization
Contact information
Practice address
1835 EL CAJON BLVD, SUITE B, SAN DIEGO, CA 92103-2591
(619) 692-3977
Mailing address
PO BOX 638, SOLANA BEACH, CA 92075-0638
(619) 692-3977
(619) 692-4160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
B1992003399
CA
Other
Enumeration date
08/02/2005
Last updated
05/03/2010
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