Individual
CORBIN DRAPER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M-273, KALAMAZOO, MI 49007-5341
(269) 381-0180
(269) 381-7347
Mailing address
601 JOHN ST, SUITE M-273, KALAMAZOO, MI 49007-5341
(269) 381-0180
(269) 381-7347
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301106709
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2010
Last updated
11/27/2023
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