| Ryan A Sullivan, Md Pc | |
|
1391 E Parkdale Ave Manistee MI 49660-9352 | |
| (231) 398-1850 | |
| Not Available |
| Full Name | Ryan A Sullivan, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1391 E Parkdale Ave, Manistee, Michigan |
| Authorized Official Name and Position | Ryan A Sullivan (OWNER) |
| Authorized Official Contact | 2313981850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan A Sullivan, Md Pc 1391 E Parkdale Ave Manistee MI 49660-9352 Ph: (231) 398-1850 | Ryan A Sullivan, Md Pc 1391 E Parkdale Ave Manistee MI 49660-9352 Ph: (231) 398-1850 |
| NPI Number | 1629165063 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629165063 | NPI | - | NPPES |
| DE0302 | Other | MI | RAILROAD MEDICARE |
| P00267590 | Other | MI | RAILROAD MEDICARE |
| 0511518 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
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