| James J Sullivan Do Pc | |
|
105 W 5th St Gladwin MI 48624-1162 | |
| (517) 426-4521 | |
| Not Available |
| Full Name | James J Sullivan Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 105 W 5th St, Gladwin, Michigan |
| Authorized Official Name and Position | James J Sullivan (OWNER) |
| Authorized Official Contact | 5174264521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James J Sullivan Do Pc 3061 Christy Way Saginaw MI 48603-2267 Ph: (989) 791-2455 | James J Sullivan Do Pc 105 W 5th St Gladwin MI 48624-1162 Ph: (517) 426-4521 |
| NPI Number | 1043249725 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043249725 | NPI | - | NPPES |
| 1039903 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101004290 (Michigan) | Primary |
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