Individual provider · Type 1 NPI

Timothy Michael Sullivan, MD

Vascular Surgery Physician · Minneapolis, MN

NPI number 1063484061 Active

Practice location

920 E 28th St
Minneapolis, MN 55407-1139

Call (612) 863-6800 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X44841 (MN)
Vascular & Interventional Radiology Physician 2085R0204X44841 (MN)
Vascular Surgery Physician 2086S0129X5847 (SD)
Vascular & Interventional Radiology Physician 2085R0204X5847 (SD)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1063484061

Timothy Michael Sullivan, MD's National Provider Identifier is 1063484061, issued on Feb 3, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 14, 2011.