JOAN MARIE SULLIVAN

GRAND RAPIDS, MI
NPI1043393150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003370)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: OK  1046093)
Enumeration Date2006-10-23
Last Update Date2023-05-23
Business Address
JOAN MARIE SULLIVAN PAC
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506-2969
Phone number: 616-774-8345
Mailing Address
JOAN MARIE SULLIVAN PAC
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: