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Individual
DR. BRIAN PATRICK SULLIVAN
Active
Individual
DR. BRIAN PATRICK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
2019021935
MO
2086S0129X
Vascular Surgery Physician
Primary
4301512530
MI
Other
Enumeration date
07/02/2019
Last updated
08/16/2024
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