Michael Sullivan
NPI #1104215136 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1104215136
- Entity Type
- Individual
- Name
- Michael Sullivan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Perfusionist
- Enumeration Date
- Jan 14, 2015
- Last Updated
- Jan 14, 2015
Practice Location
- Address
- 137 FOUNDERS WAY CT
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63701-9442
- Phone
- (573) 450-8189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Perfusionist |
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