Individual
DR. MICHAEL JOSEPH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
6644 PENN AVE S, RICHFIELD, MN 55423-2026
(612) 293-7816
Mailing address
6813 MORGAN AVE S, RICHFIELD, MN 55423-2113
(612) 861-8921
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8481
MN
Other
Enumeration date
10/12/2009
Last updated
06/02/2010
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