Individual
DR. JOHN MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Mailing address
5136 DAVISON RD, BURTON, MI 48509-1569
(810) 742-6060
(810) 742-3022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12666
MI
Other
Enumeration date
08/31/2006
Last updated
05/17/2011
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