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David Sullivan, L.AC
NPI 1396795365 · on the registry since 2006 · sole proprietor
Practice
- Address
- 17777 St Croix Trail North
Marine On St Croix, MN 55047 - Phone
- (651) 433-5458
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 171100000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-19
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 Minnesota