Individual
DR. BRIAN PATRICK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4553
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
2019021935
MO
2086S0129X
Vascular Surgery Physician
Primary
4301512530
MI
Other
Enumeration date
07/02/2019
Last updated
08/16/2024
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