NPI 1104215136

Michael Sullivan

Practitioner Perfusionist Cape Girardeau, MO

Practice location

Address: 137 Founders Way CT, Cape Girardeau, MO 63701-9442
Phone: (573) 450-8189

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 20140118235 (MO)

Other Perfusionist providers in Missouri →

Registry record

NPI: 1104215136
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2015
Record last updated: 14 Jan 2015

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.