person
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. You can also correspond with Michael Sullivan through the mailing address at 1700 1ST AVE NE, CEDAR RAPIDS, IA - 52402-5433 (mailing address contact number: 319-363-3543).

Location: 1700 1St Ave Ne, Cedar Rapids, IA, 52402-5433
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
State
Zip
52402-5433
Phone Number
319-363-3543
Fax Number
person
Provider Business Mailing Address Details
Address
1700 1St Ave Ne
City
State
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
License No.
00832 (Iowa)
Definition
Definition to come...
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