Individual
HERMAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CHERRY ST SE, GRAND RAPIDS, MI 49503
(616) 685-5050
Mailing address
245 STATE ST SE, STE 221, GRAND RAPIDS, MI 49503
(616) 685-1808
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301069347
MI
Other
Enumeration date
06/08/2006
Last updated
10/08/2010
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