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Dennis P. Sullivan, M.d., Inc.
Specialist in Springfield, Ohio
NPI 1477653897

Dennis P. Sullivan, M.d., Inc. is a Specialist based in Springfield, OH. Dennis P. Sullivan, M.d., Inc. practices in Springfield, OH. The NPI Number for Dennis P. Sullivan, M.d., Inc. is 1477653897 and holds a License No. 35-037690 (Ohio).

The current practice location address for Dennis P. Sullivan, M.d., Inc. is 30 W. Mccreight Ave Ste 103, Springfield, OH and can be reached out via phone at 937-399-8921 and via fax at 937-629-9248.

Location: 30 W. Mccreight Ave Ste 103, Springfield, OH, 45504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477653897
Provider Name
Dennis P. Sullivan, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
30 W. Mccreight Ave Ste 103, Springfield, OH, 45504
Phone Number
937-399-8921
Fax Number
937-629-9248
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2945273 05 OH
SU4262411 01 OH MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
30 W. Mccreight Ave Ste 103
City
Springfield
State
Ohio
Zip
45504
Phone Number
937-399-8921
Fax Number
937-629-9248
person
Provider Business Mailing Address Details
Address
30 W. Mccreight Ave Ste 103
City
Springfield
State
Ohio
Zip
45504
Phone Number
937-399-8921
Fax Number
937-629-9248
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35-037690 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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