MICHAEL J SULLIVAN

BELLEVILLE, IL
NPI1881097236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2014-09-30
Last Update Date2021-02-28
Business Address
MICHAEL J SULLIVAN PA-C
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226-5373
Phone number: 618-234-9884
Mailing Address
MICHAEL J SULLIVAN PA-C
4500 MEMORIAL DRIVE MEMORIAL HOSPITAL MEDICAL AFFAIRS
BELLEVILLE, IL 62226
Phone number: 618-257-4644
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