Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eugene Denis Sullivan, PA-C

Individual provider Physician Assistant · NPI 1245208883

Eugene Denis Sullivan, PA-C is a Physician Assistant in Clarkston, Michigan. Qualified in 2002, 24 years ago. Practices with Holland Community Hospital, a 175-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5701 Bow Pointe Dr Ste 100
Clarkston, MI 48346-3198
Phone: (248) 625-2621
Fax: (248) 625-8938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003867 (MI)

Record details

NPI number1245208883
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESMarch 29, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Holland Community Hospital — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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