DR. Michael William Sullivan, D.O.

NPI #1164531042 in Macomb, Michigan

Provider Information

NPI Number
1164531042
Entity Type
Individual
Name
DR. Michael William Sullivan, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Aug 30, 2006
Last Updated
Dec 13, 2011

Practice Location

Address
16700 21 MILE RD
Address 2
SUITE 101
City
Macomb
ZIP Code
48044-4887
Phone
(586) 263-0320

Specialties & Taxonomy Codes

Specialty
Family Medicine

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