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Dr. Michael Sullivan, DPM
Foot & Ankle Surgery Podiatrist in Cedar Rapids, Iowa
NPI 1134290646

Michael Sullivan is a Foot & Ankle Surgery Podiatrist based in Cedar Rapids, IA and is specialized in Foot & Ankle Surgery. Michael Sullivan practices in Cedar Rapids, IA and has the professional credentials of DPM. The NPI Number for Michael Sullivan is 1134290646 and holds a License No. 00832 (Iowa).

The current practice location address for Michael Sullivan is 1700 1St Ave Ne, Cedar Rapids, IA and can be reached out via phone at 319-363-3543.

Location: 1700 1St Ave Ne, Cedar Rapids, IA, 52402-5433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134290646
Provider Name
Michael Sullivan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1700 1St Ave Ne, Cedar Rapids, IA, 52402-5433
Phone Number
319-363-3543
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
308753201 05 MO
institution
Provider Business Practice Location Address Details
Address
1700 1St Ave Ne
City
Cedar Rapids
State
Iowa
Zip
52402-5433
Phone Number
319-363-3543
Fax Number
person
Provider Business Mailing Address Details
Address
1700 1St Ave Ne
City
Cedar Rapids
State
Iowa
Zip
52402-5433
Phone Number
319-363-3543
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
00832 (Iowa)
Definition
Definition to come...
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