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1558486746
MICHAEL J SULLIVAN
SHREVEPORT, LA
NPI
1558486746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 017603)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL J SULLIVAN MD
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3119
Phone number: 504-834-2062
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Mailing Address
Dr. MICHAEL J SULLIVAN MD
PO BOX 8608
METAIRIE, LA 70011-8608
Phone number: 504-834-2062
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