Individual
MARGARET SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14160 LINWOOD CT, GRANGER, IN 46530-4860
(574) 339-3222
Mailing address
14160 LINWOOD CT, GRANGER, IN 46530-4860
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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