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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL WILLIAM SULLIVAN, D.O.

Active Sole Proprietor

DR. MICHAEL WILLIAM SULLIVAN, D.O. is a Family Medicine healthcare provider located in MACOMB, Michigan. NPI 1164531042 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MACOMB, MI

Registration Details

NPI Number
1164531042
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.932885962025 yrs)
Last Updated
Dec 13, 2011
License
5101007472 (MI)
Sole Proprietor
Yes

Practice Information

Address
16700 21 MILE RD
SUITE 101
MACOMB, MI, 480444887
Browse MI providers · Browse ZIP 48044
Phone
5862630320
Fax
5862631276
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in MACOMB, MI

Name Credential NPI
DR. ALAN P PETER D.O. 1922098193
DR. BRUCE J BENDEROFF DO 1700860632
DR. KEITH P BORNSTEIN DO 1356325286
DR. ANDRZEJ ROBERT ZAJAC D.O. 1396725545
DR. MARK E SIKORSKI DO 1427089341
IRIS BOURBON DANIEL MD 1205840691
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.