NPI 1508191388

Michael Joseph Sullivan, AUD

Practitioner Audiologist Richfield, MN

Practice location

Address: 6644 Penn Ave S, Richfield, MN 55423-2026
Phone: (612) 293-7816
Mailing address: 6813 Morgan Ave S, Richfield, MN 55423-2113

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 8481 (MN)

Other Audiologist providers in Minnesota →

Registry record

NPI: 1508191388
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2009
Record last updated: 2 Jun 2010

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.