Individual
DAVID ROLLAND SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
17777 ST CROIX TRAIL NORTH, MARINE ON ST CROIX, MN 55047
(651) 433-5458
Mailing address
17777 ST CROIX TRAIL NORTH, MARINE ON ST CROIX, MN 55047
(651) 433-5458
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1288
MN
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
07/19/2019
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