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Daniel L Sullivan, MD
Emergency Medical Services (Emergency Medicine) Physician in Elkhart, Indiana
NPI 1386612224

Daniel L Sullivan is a Emergency Medical Services (Emergency Medicine) Physician based in South Bend, IN and is specialized in Emergency Medical Services. Daniel L Sullivan practices in Elkhart, IN and has the professional credentials of MD. The NPI Number for Daniel L Sullivan is 1386612224 and holds a License No. 100259050 (Indiana).

The current practice location address for Daniel L Sullivan is 600 East Blvd, Elkhart, IN and can be reached out via phone at 574-523-3160.

Location: 600 East Blvd, Elkhart, IN, 46624-1241
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Provider Profile Details
NPI Number
1386612224
Provider Name
Daniel L Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 East Blvd, Elkhart, IN, 46624-1241
Phone Number
574-523-3160
Fax Number
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100259050 05 IN
102668920 05 MI
000000082211 01 IN ANTHEM
010029958 01 IN RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
600 East Blvd
City
State
Zip
46514-2483
Phone Number
574-523-3160
Fax Number
person
Provider Business Mailing Address Details
Address
600 East Blvd
City
State
Zip
46514-2483
Phone Number
574-523-3160
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
License No.
100259050 (Indiana)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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