DR. Michael James Sullivan, OD

NPI #1700168333 in Potsdam, New York

Provider Information

NPI Number
1700168333
Entity Type
Individual
Name
DR. Michael James Sullivan, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Sep 9, 2011
Last Updated
Sep 9, 2011

Practice Location

Address
59 ELM ST
ZIP Code
13676-1808
Phone
(315) 265-7417

Specialties & Taxonomy Codes

Specialty
Optometrist

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