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Individual
MICHAEL PATRICK SULLIVAN
Active
Individual
MICHAEL PATRICK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00033030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168205
LIWA
WA
01
—
0302692
L&I AND CRIME VICTIMS
WA
01
—
7524SU
BSWA
WA
05
—
8182263
—
WA
Enumeration date
07/03/2006
Last updated
01/30/2013
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