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Individual

MICHAEL J CULOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8320 W BLUEMOUND RD, WAUWATOSA, WI 53213-3367
(414) 302-3800
Mailing address
W249S6680 CENTER RD, WAUKESHA, WI 53189-9337
(262) 662-1060

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
304-122
WI
171100000X
Acupuncturist
Primary
291-055
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
391678306476
BX GROUP
WI
Enumeration date
08/05/2007
Last updated
08/05/2007
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