Individual
MICHAEL J SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
7706 OLENTANGY RIVER RD, COLUMBUS, OH 43235-1317
(614) 436-8888
(614) 436-8847
Mailing address
7706 OLENTANGY RIVER RD, COLUMBUS, OH 43235-1317
(614) 436-8888
(614) 436-8847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35046240S
OH
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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