# OAK CREEK OB GYN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013021583
- **Authorized official:** MR. WILLIAM MICHAEL MCCULLOUGH JR. MD (SENIOR PHYSICIAN)
- **Authorized official phone:** (937) 848-4850

## Contact information

- **Practice address:** 6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459
- **Practice address phone:** (937) 848-4850
- **Practice address fax:** (937) 848-4858
- **Mailing address:** 6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459
- **Mailing address phone:** (937) 848-4850
- **Mailing address fax:** (937) 848-4858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 06/18/2008
