NPI 1225352792

Corbin Draper Sullivan, MD

Practitioner Otolaryngology Physician Kalamazoo, MI

Practice location

Address: 601 John St Suite M-273, Kalamazoo, MI 49007-5341
Phone: (269) 381-0180
Fax: (269) 381-7347

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 4301106709 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1225352792
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2010
Record last updated: 27 Nov 2023

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.