Individual
DR. BRENDAN JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3826 44TH ST SE, GRAND RAPIDS, MI 49512-3919
(616) 554-0918
(616) 554-3079
Mailing address
3826 44TH ST SE, GRAND RAPIDS, MI 49512-3919
(616) 554-0918
(616) 554-3079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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