Individual
DR. STEPHEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G, ANN ARBOR, MI 48109-5338
(734) 936-7010
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301062393
MI
2084N0400X
Neurology Physician
4301062393
MI
Other
Enumeration date
06/06/2006
Last updated
04/23/2012
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