Individual
DR. DANIEL M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 BARCLAY CIR, STE 200, ROCHESTER HILLS, MI 48307-4508
(248) 853-9177
(248) 853-7258
Mailing address
75 BARCLAY CIR, STE 200, ROCHESTER HILLS, MI 48307-4508
(248) 853-9177
(248) 853-7258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301063953
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4386959-10
—
MI
05
—
438695910
—
MI
Enumeration date
11/11/2005
Last updated
03/29/2022
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