Individual
BONNIE A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4622 WINDSWEPT DR, MILFORD, MI 48380-2777
(989) 928-6197
(989) 928-6197
Mailing address
4622 WINDSWEPT DR, MILFORD, MI 48380-2777
(989) 928-6197
(989) 928-6197
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1037397
MI
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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