Eugene Denis Sullivan, PA-C

Physician Assistant · Clarkston, MI

Individual Active NPI

NPI number 1245208883

Practice location

5701 Bow Pointe Dr
Suite 100
Clarkston, MI 48346-3198
Phone
(248) 625-2621
Fax
(248) 625-8938

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NPI record

NPI
1245208883
Entity type
Individual (Type 1)
Enumeration date
March 9, 2006
Last updated
March 29, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5601003867 MI

About Eugene Sullivan

Eugene Denis Sullivan, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198. The NPI number 1245208883 was assigned on March 9, 2006 and the record was last updated on March 29, 2010.

Eugene Sullivan lists a license in the registry: #5601003867 (MI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eugene Denis Sullivan, PA-C?

The NPI number is 1245208883.

What is the phone number of Eugene Sullivan?

The phone number listed for the practice location is (248) 625-2621.

Where is Eugene Sullivan located?

5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198.

What is the taxonomy code for Eugene Sullivan?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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