Sylvia Sullivan

NPI 1639460843 · on the registry since 2011

Practice

Address: 1221 Pine Grove Ave
Port Huron, MI 48060
Phone: (810) 989-3455
Fax: (810) 987-2087
Organisation at this address: Walgreen Co
Mclaren Port Huron
Mclaren Port Huron
Mclaren Port Huron
Mclaren Port Huron
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 116

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-04-21

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