Michael W Sullivan, Dc | |
601 Alameda St, Norman, OK 73071-5455 | |
(405) 447-5181 | |
Not Available |
Full Name | Michael W Sullivan, Dc |
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Type | Facility |
Speciality | Chiropractor |
Location | 601 Alameda St, Norman, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013100510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3224 (Oklahoma) | Primary |
Provider Name | Michael W Sullivan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932116746 PECOS PAC ID: 6204887672 Enrollment ID: I20050202000760 |
Mailing Address | Practice Location Address |
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Michael W Sullivan, Dc 601 Alameda St, Norman, OK 73071-5455 Ph: (405) 447-5181 | Michael W Sullivan, Dc 601 Alameda St, Norman, OK 73071-5455 Ph: (405) 447-5181 |
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