Individual provider · Type 1 NPI

Bryan Daniel Sullivan, DC

Chiropractor · Maple Grove, MN

NPI number 1073632006 Active

Practice location

7835 Main St, Suite 230
Maple Grove, MN 55369-7071

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3681 (MN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1073632006

Bryan Daniel Sullivan, DC's National Provider Identifier is 1073632006, issued on Mar 29, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Maple Grove, MN. The record was last updated on Jul 8, 2007.