Individual provider · Type 1 NPI
Herman Sullivan, MD
Neurology Physician · Grand Rapids, MI
NPI number
1528008281
Active
Practice location
200 Cherry St SE
Grand Rapids, MI 49503
Mailing address
245 State St SE, Ste 221
Grand Rapids, MI 49503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 4301069347 (MI) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1528008281
Herman Sullivan, MD's National Provider Identifier is 1528008281, issued on Jun 8, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 8, 2010.