Michael J Sullivan, PA-C
NPI #1881097236 in Belleville, Illinois
Provider Information
- NPI Number
- 1881097236
- Entity Type
- Individual
- Name
- Michael J Sullivan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Feb 28, 2021
Practice Location
- Address
- 4700 MEMORIAL DR STE 340
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5373
- Phone
- (618) 234-9884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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