Individual
DR. DENNIS MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 MELANIE CT, BEAVERCREEK, OH 45434-6220
(937) 426-0597
Mailing address
308 MELANIE CT, BEAVERCREEK, OH 45434-6220
(937) 426-0597
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-045646
OH
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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