Individual
DR. JOHN MICHAEL SULLIVAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351051439
MI
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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