Individual
MAURA K SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2520 ROBERT JONES WAY, KALAMAZOO, MI 49009-1904
(269) 663-4032
(269) 488-6580
Mailing address
2520 ROBERT JONES WAY, KALAMAZOO, MI 49009-1904
(269) 663-4032
(269) 488-6580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005124
MI
Other
Enumeration date
09/07/2007
Last updated
04/19/2026
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