Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Michael Sullivan, MD

Individual provider Vascular Surgery Physician · NPI 1063484061

Timothy Michael Sullivan, MD is a Vascular Surgery Physician in Minneapolis, Minnesota. Licensed in Minnesota and South Dakota. Registered with an NPI since 2006.

Licensed in
MN, SD
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

920 E 28th St
Minneapolis, MN 55407-1139
Phone: (612) 863-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 44841 (MN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 44841 (MN)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 5847 (SD)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 5847 (SD)

Record details

NPI number1063484061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESNovember 14, 2011
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

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