Michael Patrick Sullivan, MD
NPI #1336105626 in So Lake Tahoe, California
Provider Information
- NPI Number
- 1336105626
- Entity Type
- Individual
- Name
- Michael Patrick Sullivan, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Credential
- MD
- Enumeration Date
- Apr 25, 2006
- Last Updated
- Sep 28, 2012
Practice Location
- Address
- 2101 SOUTH AVE
- City
- So Lake Tahoe
- State
- California
- ZIP Code
- 96150
- Phone
- (530) 542-5744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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