Individual
LAURA SULLIVAN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 JOHN ST, SUITE M-273, KALAMAZOO, MI 49007-5341
(248) 804-2448
Mailing address
601 JOHN ST, SUITE M-273, KALAMAZOO, MI 49007-5341
(248) 804-2448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007525
MI
Other
Enumeration date
12/14/2015
Last updated
11/27/2023
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