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Michael Sullivan, D.O
NPI 1164531042 · on the registry since 2006 · sole proprietor
Practice
- Address
- 16700 21 Mile Rd
Suite 101
Macomb, MI 48044 - Phone
- (586) 263-0320
- Fax
- (586) 263-1276
- Organisation at this address
- Mario N Coraci Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan