DR. Bryan Daniel Sullivan, D.C.

NPI #1073632006 in Maple Grove, Minnesota

Provider Information

NPI Number: 1073632006
Entity Type: Individual
Name: DR. Bryan Daniel Sullivan, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7835 MAIN ST
Address 2: SUITE 230
City: Maple Grove
State: Minnesota
ZIP Code: 55369-7071
Phone: (763) 494-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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