Organization
FERRIS STATE UNIVERSITY
Active
Other names
Birkam Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R PAUL SULLIVAN PHD (DIRECTOR)
(231) 591-2616
Entity
Organization
Contact information
Practice address
1019 CAMPUS DR, BIG RAPIDS, MI 49307-2280
(231) 591-2614
(231) 591-5970
Mailing address
1019 CAMPUS DR, BIG RAPIDS, MI 49307-2280
(231) 591-2614
(231) 591-5970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301040919
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E46000
BLUE SHIELD
MI
Enumeration date
05/09/2007
Last updated
06/16/2008
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