Organization
SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SULLIVAN M.D. (PRESIDENT)
(614) 436-8888
Entity
Organization
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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
216 / ID 0317AS
OH
Other
Enumeration date
09/20/2005
Last updated
08/22/2020
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