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1538129994
MICHAEL P SULLIVAN
PORTLAND, ME
NPI
1538129994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME md16351)
Enumeration Date
2006-03-27
Last Update Date
2023-05-17
Business Address
MICHAEL P SULLIVAN MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4618
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Mailing Address
MICHAEL P SULLIVAN MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4618
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