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

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