Name: | Thomas S. Sullivan |
Specialization: | Nutrition Support |
Credentials: | M.S., R.PH., BCNSP |
Gender: | Male |
Location: | 21230 Dequindre Rd, Warren, Michigan, 48091-2279 |
Phone: | 586-880-2483 |
NPI Number: | 1477547933 |
NPI Enumeration Date: | 09 Sep, 2005 |
NPI Last Update On: | 07 Apr, 2022 |
Specialization | License Number | State | Status | |
Nutrition Support | 5302025761 | Michigan | Primary | |
Pharmacist | 5302025761 | Michigan | Secondary |
Address: | 324 Belanger St, Grosse Pointe Farms, Michigan |
Zip: | 48236-3302 |
Phone Number: | 313-378-5416 |
Fax Number: | -- |