Michael Anthony Sullivan

NPI 1649457300 - Dentist - 1223G0001X

NPI Details
NPI 1649457300
Gender Male
Enumeration Date 01/24/2008
Last Updated 01/14/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
6483 M 66 N
CHARLEVOIX MI, 49720-9272, US
Phone (231) 547-4191
Fax
Business Location
6483 M 66 N
CHARLEVOIX MI, 49720-9272, US
Phone (231) 547-4191
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901019909
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According to our database, Michael Anthony Sullivan NPI is 1649457300, taxonomy code is 1223G0001X and license number is 2901019909, license state is located at Michigan. Michael Anthony Sullivan physically located at 6483 M 66 N, Charlevoix MI, 49720-9272. NPI Number Michael Anthony Sullivan has the Individual type.

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1649457300 NPI number is provided on an as is basis without warranty of any kind. 1649457300 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Anthony Sullivan are for informational purposes only.