Sonny Sullivan, PA-C
Sonny Sullivan, PA-C is a Physician Assistant in Clinton Twp, Michigan. Qualified in 2023, 3 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 3
- Licensed in
- MI
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
15855 19 Mile RdClinton Twp, MI 48038-3504
Phone: (800) 532-2411
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 400 Hobart St, Cadillac, MI 49601-2331 — (231) 876-7200
- 1970 Ashland Dr, Mt Pleasant, MI 48858-1203 — (989) 854-2266
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601011968 (MI) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 5601011968 (MI) |
Record details
| NPI number | 1215610779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2023 |
| Last updated in NPPES | April 14, 2025 |
| Certification date | April 14, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Henry Ford Macomb Hospital Corporation — 339 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |