Individual
DR. BRIAN MICHAEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 S 4TH ST W, BAKER, MT 59313-9156
(406) 778-2833
(406) 778-5355
Mailing address
514 AMERICAS WAY, APT 6347, BOX ELDER, SD 57719-7600
(949) 444-6695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49845
MT
Other
Enumeration date
05/23/2008
Last updated
01/25/2021
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