NPI 1073632006

Bryan Daniel Sullivan, DC

Practitioner Chiropractor Maple Grove, MN

Practice location

Address: 7835 Main St Suite 230, Maple Grove, MN 55369-7071
Phone: (763) 494-4311

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 3681 (MN)

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Registry record

NPI: 1073632006
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.