Individual
DR. DANIEL JOSEPH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1221 PLEASANT ST, SUITE 200, DES MOINES, IA 50309-1423
(515) 241-8223
(515) 241-4313
Mailing address
1221 PLEASANT ST, SUITE 200, DES MOINES, IA 50309-1423
(515) 241-8223
(515) 241-4313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO-03372
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548280696
—
IA
Enumeration date
07/20/2006
Last updated
03/23/2015
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