Individual
DAVID RYAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
16411 SOUTHPARK DR., SUITE B, WESTFIELD, IN 46074
(317) 896-6655
(317) 896-6081
Mailing address
16411 SOUTHPARK DR., SUITE B, WESTFIELD, IN 46074
(317) 896-6655
(317) 896-6081
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001049A
IN
Other
Enumeration date
07/04/2006
Last updated
07/22/2009
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