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1164531042
MICHAEL WILLIAM SULLIVAN
MACOMB, MI
NPI
1164531042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101007472)
Enumeration Date
2006-08-30
Last Update Date
2011-12-13
Business Address
Dr. MICHAEL WILLIAM SULLIVAN D.O.
16700 21 MILE RD SUITE 101
MACOMB, MI 48044-4887
Phone number: 586-263-0320
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Mailing Address
Dr. MICHAEL WILLIAM SULLIVAN D.O.
16700 21 MILE RD SUITE 101
MACOMB, MI 48044-4887
Phone number: 586-263-0320
Copy
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