Dr Jonathon Sullivan, MD - Emergency Medicine in Detroit, MI

Dr Jonathon Sullivan, MD is a Emergency Medicine physician based in Detroit, Michigan. Dr Jonathon Sullivan is licensed to practice in Michigan (license number 4301060244) and his current practice location is 4201 Saint Antoine St, Suite 3r, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (313) 745-3000.

NPI number for Dr Jonathon Sullivan is 1679594394 and his current mailing address is 25066 Springbrook Dr, Farmington Hills, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679594394.

Contact Information

Dr Jonathon Sullivan, MD
4201 Saint Antoine St, Suite 3r,
Detroit, MI 48201-2153
(313) 745-3000
Not Available

Map and Direction




Physician's Profile

Full NameDr Jonathon Sullivan
GenderMale
SpecialityEmergency Medicine
Location4201 Saint Antoine St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679594394
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 06/17/2010

Medical Identifiers

Medical identifiers for Dr Jonathon Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679594394NPI-NPPES
JS060244OtherMIBC/BS OF MICHGIAN
104783832MedicaidMI
103159455MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 4301060244 (Michigan)Secondary
207P00000XEmergency Medicine 4301060244 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathon Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jonathon Sullivan, MD
25066 Springbrook Dr,
Farmington Hills, MI 48336-1950

Ph: () -
Dr Jonathon Sullivan, MD
4201 Saint Antoine St, Suite 3r,
Detroit, MI 48201-2153

Ph: (313) 745-3000

Reviews and Comments


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