| Michael W Sullivan, Dc | |
|
601 Alameda St, Norman, OK 73071-5455 | |
| (405) 447-5181 | |
| Not Available |
| Full Name | Michael W Sullivan, Dc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 601 Alameda St, Norman, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013100510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3224 (Oklahoma) | Primary |
| Provider Name | Michael W Sullivan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932116746 PECOS PAC ID: 6204887672 Enrollment ID: I20050202000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Sullivan, Dc 601 Alameda St, Norman, OK 73071-5455 Ph: (405) 447-5181 | Michael W Sullivan, Dc 601 Alameda St, Norman, OK 73071-5455 Ph: (405) 447-5181 |
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