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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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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