Sonny Sullivan, PA-C

NPI #1215610779 in Clinton Twp, Michigan

Provider Information

NPI Number: 1215610779
Entity Type: Individual
Name: Sonny Sullivan, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 10, 2023
Last Updated: Apr 14, 2025

Practice Location

Address: 15855 19 MILE RD
City: Clinton Twp
State: Michigan
ZIP Code: 48038-3504
Phone: (800) 532-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

Additional Practice Locations

400 Hobart St

Cadillac, MI, 49601-2331

(231) 876-7200

1970 Ashland Dr

Mt Pleasant, MI, 48858-1203

(989) 854-2266

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