Individual
DR. MICHAEL W. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 S. WASHINGTON AVENUE, SUITE #2, SAGINAW, MI 48601
(989) 790-1001
(989) 790-1002
Mailing address
999 S. WASHINGTON AVENUE, SUITE #2, SAGINAW, MI 48601
(989) 790-1001
(989) 790-1002
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301074324
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4114251
—
MI
Enumeration date
08/24/2005
Last updated
07/06/2009
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