Sullivan, Timothy Michael
Sullivan, Timothy Michael is an individual health care provider with primary practice located at 920 E 28Th St , Minneapolis MN 55407-1139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sullivan, Timothy Michael can be contacted via phone (612) 863-6800.Contact Information
Primary practice address
920 E 28Th St
Minneapolis MN 55407-1139
Phone: (612) 863-6800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 44841 | Minnesota |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 44841 | Minnesota |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5847 | South Dakota |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 5847 | South Dakota |
Profile Details
NPI number | 1063484061 |
---|---|
LBN Legal business name | Sullivan, Timothy Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Nov 14th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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