MICHAEL JAMES SULLIVAN

POTSDAM, NY
NPI1700168333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: NY  TUV007119-1)
Enumeration Date2011-09-09
Last Update Date2011-09-09
Business Address
Dr. MICHAEL JAMES SULLIVAN OD
59 ELM ST
POTSDAM, NY 13676-1808
Phone number: 315-265-7417
Mailing Address
Dr. MICHAEL JAMES SULLIVAN OD
125 MARTIN AVE. WEST
WINNIPEG, MANITOBA R2L 0B3
Phone number: 204-663-8744