# OAK CREEK OBGYN

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

## Provider details

- **NPI number:** 1417058314
- **Authorized official:** MR. WILLIAM MICHAEL MCCULLOUGH JR. M.D. (SENIOR PHYSICIAN OF PRACTICE)
- **Authorized official phone:** (937) 848-4850

## Contact information

- **Practice address:** 2510 COMMONS BLVD, SUITE 270, BEAVERCREEK, OH 45431-3820
- **Practice address phone:** (937) 431-0200
- **Practice address fax:** (937) 431-0488
- **Mailing address:** 6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459-7010
- **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:** 09/26/2006
- **Last updated:** 08/12/2009