Individual
DR. JAMES M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W 1ST ST, BLOOMINGTON, IN 47403-2208
(812) 333-4327
(812) 961-1521
Mailing address
1000 W 1ST ST, BLOOMINGTON, IN 47403-2208
(812) 333-4327
(812) 961-1521
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
09A102673
IN
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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