Individual
DANIEL J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
870 GRAND AVE, SAINT PAUL, MN 55105-3291
(651) 326-5650
(651) 326-5671
Mailing address
870 GRAND AVE, SAINT PAUL, MN 55105-3291
(651) 326-5650
(651) 326-5671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41740
MN
Other
Enumeration date
10/06/2006
Last updated
02/07/2013
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