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Individual

MICHAEL PATRICK SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1117 SPRING ST, FRIDAY HARBOR, WA 98250-9782
(360) 378-2141
(360) 378-3655
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 378-2141
(360) 378-3655

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00033030
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0168205
LIWA
WA
01
0302692
L&I AND CRIME VICTIMS
WA
01
7524SU
BSWA
WA
05
8182263
WA
Enumeration date
07/03/2006
Last updated
01/30/2013
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