Individual provider · Type 1 NPI

Sonny Sullivan, PA-C

Physician Assistant · Clinton Township, MI

NPI number 1215610779 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Call (800) 532-2411 Map

Mailing address

5838 S Mission Rd
Mount Pleasant, MI 48858-5531

Other practice locations

  • 400 Hobart St, Cadillac, MI 49601-2331 · (231) 876-7200
  • 1970 Ashland Dr, Mount Pleasant, MI 48858-1203 · (989) 854-2266

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X5601011968 (MI)
Physician Assistant Primary 363A00000X5601011968 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215610779

Sonny Sullivan, PA-C's National Provider Identifier is 1215610779, issued on Aug 10, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clinton Township, MI. The record was last updated on Apr 14, 2025.