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Individual
MICHAEL MCCULLOUGH
Active
Individual
MICHAEL MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35366
DC
Other
Enumeration date
02/03/2006
Last updated
10/24/2007
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