NPI 1083747992

James M Sullivan, MD

Practitioner General Practice Physician Bloomington, IN

Practice location

Address: 1000 W 1st St, Bloomington, IN 47403-2208
Phone: (812) 333-4327
Fax: (812) 961-1521

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 09A102673 (IN)

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Registry record

NPI: 1083747992
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 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.