IndividualActive
Timothy Sullivan, MD
NPI 1063484061 · Vascular Surgery Physician · Minneapolis, MN
Provider details
- NPI number
- 1063484061
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 44841 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
920 E 28th St
Minneapolis, MN 55407-1139
Phone: (612) 863-6800
Approximate (ZIP-level) locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2011-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.