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Organization
SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC
Active
Organization
SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SULLIVAN M.D. (PRESIDENT)
(614) 436-8888
Entity
Organization
Contact information
Practice address
7706 OLENTANGY RIVER RD, COLUMBUS, OH 43235-1317
(614) 436-8888
(614) 436-8847
Mailing address
7706 OLENTANGY RIVER RD, COLUMBUS, OH 43235-1317
(614) 436-8888
(614) 436-8847
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
216 / ID 0317AS
OH
Other
Enumeration date
09/20/2005
Last updated
08/22/2020
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