Individual
MICHAEL BRENDAN O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE # F273, MINNEAPOLIS, MN 55454-1450
(612) 273-8700
(612) 273-8727
Mailing address
2450 RIVERSIDE AVE # F273, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19405
MN
Other
Enumeration date
02/20/2007
Last updated
08/03/2010
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