Individual
DANIEL M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, SO30, CLEVELAND, OH 44195-0001
(440) 519-6800
(413) 458-3140
Mailing address
9500 EUCLID AVE, SO30, CLEVELAND, OH 44195-0001
(440) 519-6800
(413) 458-3140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35088633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693107
—
OH
Enumeration date
12/30/2005
Last updated
10/14/2011
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