Individual
SEAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
209 S STATE ST, ANN ARBOR, MI 48104-2005
(866) 389-2727
Mailing address
209 S STATE ST, ANN ARBOR, MI 48104-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704288091
MI
Other
Enumeration date
06/22/2018
Last updated
08/09/2018
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