Timothy Michael Sullivan
Vascular Surgeon
920 E 28th St
Minneapolis
, Minnesota 55407-1139
Timothy Michael Sullivan
Vascular Surgeon
920 E 28th St
Minneapolis
, Minnesota 55407-1139
(612) 262-5000
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Timothy Michael Sullivan
- 2925 Chicago Ave
- Minneapolis, MN
- Zip : 55407-1321
- Phone : (612) 262-5000
Second Address
- Timothy Michael Sullivan
- 920 E 28th St
- Minneapolis, MN
- Zip : 55407-1139
- Phone : (612) 863-6800
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 44841 | MN |
| N | 2086S0129X | Vascular Surgeon | 5847 | SD |
National Provider Identifier
| NPI | 1063484061 |
|---|---|
| Provider Name | Timothy Michael Sullivan |
| First Address | Minneapolis, MN 55407-1321 |
| Second Address | Minneapolis, MN 55407-1139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 14/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.